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General NPI Number Information
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NPI Number | 1578805560
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Entity Type | Individual
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Provider Name | AMY MARIE HUSER CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 265 BROOKVIEW CENTRE WAY
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City | KNOXVILLE
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State | TN
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Zip | 37919-4049
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Country | US
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Telephone | 865-693-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 15362 S SHANNAN LN
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City | OLATHE
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State | KS
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Zip | 66062-3384
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Country | US
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Telephone | 913-829-5219
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Fax |
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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 | 1396167072
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License Number State | KS
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