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General NPI Number Information
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NPI Number | 1619349073
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Entity Type | Individual
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Provider Name | VICTORIA KAR-YING MA CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | BIDDEFORD
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State | ME
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Zip | 04005-9422
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Country | US
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Telephone | 207-283-7042
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Fax | 207-283-7047
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Provider Business Mailing Address
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Address Line | 190 RIVERSIDE ST SUITE 6B
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City | PORTLAND
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State | ME
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Zip | 04103-1073
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Country | US
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Telephone | 207-661-2000
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Fax | 207-661-2033
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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 | RNA153029
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License Number State | ME
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