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General NPI Number Information
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NPI Number | 1659480663
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Entity Type | Individual
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Provider Name | STEPHANIE JEAN JONES CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 3108 TAM O SHANTER DR
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City | HAYS
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State | KS
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Zip | 67601-1832
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Country | US
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Telephone | 785-640-5627
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Fax | 785-625-7667
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Provider Business Mailing Address
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Address Line | 3108 TAM O SHANTER DR
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City | HAYS
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State | KS
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Zip | 67601-1832
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Country | US
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Telephone | 785-640-5627
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Fax | 785-625-7667
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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 | 1380775032
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License Number State | NE
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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 | 55418
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License Number State | KS
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