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General NPI Number Information
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NPI Number | 1588643084
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Entity Type | Individual
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Provider Name | LANA LOUISE ANDERSEN CRNFA
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Gender | Female
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1802 W EL CAMINITO DR
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City | PHOENIX
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State | AZ
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Zip | 85021-5257
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Country | US
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Telephone | 602-942-6166
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Fax | 602-942-6188
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Provider Business Mailing Address
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Address Line | PO BOX 39482
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City | PHOENIX
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State | AZ
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Zip | 85069-9482
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Country | US
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Telephone | 602-942-6166
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Fax | 602-942-6188
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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 | 364SP2800X
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Taxonomy Name | Perioperative Clinical Nurse Specialist
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License Number | RN050320
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License Number State | AZ
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