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General NPI Number Information
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NPI Number | 1619949393
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Entity Type | Individual
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Provider Name | RITA M POCE CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 01/23/2014
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Provider Practice Location Address
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Address Line | 20305 W 94TH TER
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City | LENEXA
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State | KS
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Zip | 66220-3648
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Country | US
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Telephone | 913-568-1128
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Fax | 913-390-9911
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Provider Business Mailing Address
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Address Line | 20305 W 94TH TER
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City | LENEXA
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State | KS
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Zip | 66220-3648
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Country | US
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Telephone | 913-568-1128
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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 | 54455
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License Number State | KS
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