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NPI 1629318449

NPI 1629318449 : ROSALIND RUSS CRNA : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1629318449
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    Entity Type          |    Individual 
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    Provider Name        |    ROSALIND RUSS CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/15/2013
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    Last Update Date     |    02/27/2025
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Provider Practice Location Address
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    Address Line         |    2615 CHESTER AVE 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93301-2014
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    Country              |    US
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    Telephone            |    661-395-3000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3154 PLAZA ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33133-4317
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    Country              |    US
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    Telephone            |    786-431-5343
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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       |    4381
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    License Number State |    CA
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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       |    9292203
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    7641
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    License Number State |    NC
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