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General NPI Number Information
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NPI Number | 1609447945
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Entity Type | Individual
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Provider Name | JAIMIE LEIGH HARDY APRN - CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 3801 LAKE OTIS PKWY STE 100
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City | ANCHORAGE
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State | AK
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Zip | 99508-5234
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Country | US
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Telephone | 907-563-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 6998 AVALANCHE CIR
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City | ANCHORAGE
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State | AK
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Zip | 99516-5073
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Country | US
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Telephone | 703-915-6432
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 229981
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License Number State | AK
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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 | 234441
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License Number State | AK
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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 | RN198600
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 308011
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License Number State | AZ
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