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General NPI Number Information
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NPI Number | 1619920121
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Entity Type | Individual
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Provider Name | JILL A PIRTZ CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 1934 NILES CORTLAND RD NE
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City | WARREN
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State | OH
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Zip | 44484-1055
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Country | US
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Telephone | 330-609-7874
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Fax | 330-286-5396
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Provider Business Mailing Address
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Address Line | 4135 BOARDMAN CANFIELD RD STE 101
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City | CANFIELD
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State | OH
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Zip | 44406-9803
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Country | US
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Telephone | 330-286-5330
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Fax | 330-286-5396
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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 | APRN.CRNA.02876
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License Number State | OH
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