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General NPI Number Information
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NPI Number | 1588665863
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Entity Type | Individual
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Provider Name | WENJING ADAMS CRNA, APRN
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Gender | Female
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 08/21/2014
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Provider Practice Location Address
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Address Line | 11250 OLD SAINT AUGUSTINE RD UNIT 266
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City | JACKSONVILLE
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State | FL
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Zip | 32257-1088
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Country | US
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Telephone | 813-382-0004
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Fax |
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Provider Business Mailing Address
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Address Line | 11250 OLD SAINT AUGUSTINE RD UNIT 266
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City | JACKSONVILLE
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State | FL
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Zip | 32257-1088
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Country | US
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Telephone | 813-382-0004
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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 | 002981
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License Number State | CT
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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 | ARNP9314073
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License Number State | FL
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