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General NPI Number Information
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NPI Number | 1619333168
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Entity Type | Individual
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Provider Name | WHITNEY TERESA JABLONSKI CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 4118 STARR AVE
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City | OREGON
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State | OH
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Zip | 43616-2444
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Country | US
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Telephone | 419-349-0752
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Fax |
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Provider Business Mailing Address
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Address Line | 4118 STARR AVE
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City | OREGON
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State | OH
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Zip | 43616-2444
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Country | US
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Telephone | 419-349-0752
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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 | RN.370537-1
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704292462
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License Number State | MI
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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 | 28213496A
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License Number State | IN
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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 | COA.18600-NA
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License Number State | OH
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