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General NPI Number Information
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NPI Number | 1649835646
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Entity Type | Individual
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Provider Name | JENNA LASHLEY CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 6805 GUILFORD CREST DR
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City | APOLLO BEACH
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State | FL
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Zip | 33572-1723
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Country | US
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Telephone | 484-515-1201
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Fax |
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Provider Business Mailing Address
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Address Line | 6805 GUILFORD CREST DR
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City | APOLLO BEACH
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State | FL
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Zip | 33572-1723
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Country | US
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Telephone | 484-515-1201
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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 | RN673568
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License Number State | PA
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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 | APRN11018025
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License Number State | FL
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