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General NPI Number Information
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NPI Number | 1629705074
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Entity Type | Individual
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Provider Name | JORGE SAENZ CRNA
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Gender | Male
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 1 VETERANS DR
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-2309
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Country | US
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Telephone | 612-725-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 FAIRVIEW BLVD
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City | WYOMING
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State | MN
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Zip | 55092-2018
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Country | US
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Telephone | 651-464-4611
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Fax | 651-464-7627
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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 | 2757
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License Number State | MN
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