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General NPI Number Information
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NPI Number | 1639442148
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Entity Type | Individual
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Provider Name | JAYAKRISHNA LOYA CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 355 BARD AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-1664
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Country | US
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Telephone | 718-818-1234
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3449
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City | MCALLEN
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State | TX
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Zip | 78502-3449
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Country | US
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Telephone | 956-661-0529
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Fax | 956-661-4639
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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 | 089542
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License Number State | TX
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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 | 980042
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License Number State | NY
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