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General NPI Number Information
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NPI Number | 1598178212
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Entity Type | Individual
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Provider Name | EMILY RUTH ALLARD-FONTANAROSA C.R.N.A
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Gender | Female
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 1210 S OLD DIXIE HWY
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City | JUPITER
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State | FL
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Zip | 33458-7205
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Country | US
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Telephone | 561-744-4477
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Fax | 561-263-5788
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Provider Business Mailing Address
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Address Line | 431 JUPITER LAKES BLVD APT 2102B
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City | JUPITER
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State | FL
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Zip | 33458-7116
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Country | US
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Telephone | 561-222-3843
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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 | 9264186
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License Number State | FL
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