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General NPI Number Information
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NPI Number | 1588184287
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Entity Type | Individual
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Provider Name | JOANNA SHULTZ CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2080 W ARLINGTON BLVD STE B
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City | GREENVILLE
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State | NC
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Zip | 27834-3770
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Country | US
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Telephone | 252-752-4633
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 645304
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City | CINCINNATI
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State | OH
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Zip | 45264-5304
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Country | US
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Telephone | 706-855-4633
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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 | 295509
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License Number State | NC
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