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General NPI Number Information
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NPI Number | 1578568143
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Entity Type | Individual
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Provider Name | CHRISTINE M PACHECO CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 810 W HIGHWAY 71
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City | MARBLE FALLS
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State | TX
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Zip | 78654-8602
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Country | US
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Telephone | 830-201-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 800-994-0371
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Fax | 254-215-9722
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN.0003498-CRNA
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 90919
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | CRNA1528
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1058872
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License Number State | TX
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