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NPI 1588422349

NPI 1588422349 : GRACE BEUCHERT CRNA : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1588422349
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    Entity Type          |    Individual 
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    Provider Name        |    GRACE BEUCHERT CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/07/2024
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    Last Update Date     |    08/17/2026
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Provider Practice Location Address
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    Address Line         |    521 PARNASSUS AVE 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94143-2206
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    Country              |    US
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    Telephone            |    415-514-3785
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3700 RESERVOIR ROAD NW BOX 571107 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20057-0001
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    Country              |    US
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    Telephone            |    
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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       |    95002927
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN1040534
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    License Number State |    DC
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Taxonomy #3
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    95217294
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    L1-0071060
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    License Number State |    DE
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