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General NPI Number Information
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NPI Number | 1649351412
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Entity Type | Individual
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Provider Name | ELIZABETH JAMES CASTRESANA CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | SAINT JOSEPH HOSPITAL 2260 WRIGHTSBORO ROAD
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City | AUGUSTA
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State | GA
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Zip | 30904
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Country | US
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Telephone | 706-481-7609
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Fax |
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Provider Business Mailing Address
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Address Line | 158 MCBRIDE RD
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City | MARTINEZ
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State | GA
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Zip | 30907-1665
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Country | US
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Telephone | 706-228-5521
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Fax | 706-228-5521
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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 | RN086983
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License Number State | GA
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