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NPI 1598798019

NPI 1598798019 : CHRISTOPHER ADRIAN KUENNEN CRNA : READING, PA

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General NPI Number Information
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    NPI Number           |    1598798019
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER ADRIAN KUENNEN CRNA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/08/2006
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    Last Update Date     |    01/17/2008
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Provider Practice Location Address
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    Address Line         |    2500 BERNVILLE ROAD ST JOSEPH'S HOSPITAL
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    City                 |    READING
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    State                |    PA
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    Zip                  |    19605
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    Country              |    US
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    Telephone            |    610-378-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10 AUSTIN DR 
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    City                 |    ROBESONIA
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    State                |    PA
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    Zip                  |    19551-9564
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    Country              |    US
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    Telephone            |    610-963-6670
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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       |    L1-0028831
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    License Number State |    DE
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