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General NPI Number Information
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NPI Number | 1629374962
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Entity Type | Individual
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Provider Name | ERIN C MOHAN CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2005 KNIGHT LANE BUILDING H NAVY MEDICINE SUPPORT COMMAND; MEDICAL STAFF SERVICES
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City | JACKSONVILLE
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State | FL
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Zip | 32212-0140
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Country | US
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Telephone | 619-532-8038
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 571-231-3224
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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 | 622338
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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 | 0024188524
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License Number State | VA
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