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General NPI Number Information
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NPI Number | 1659619336
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Entity Type | Individual
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Provider Name | RANI MABLE CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 3800 RESERVOIR RD NW CCC BLDG, LOWER LEVEL, DEPARTMENT OF ANESTHESIA
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City | WASHINGTON
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State | DC
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Zip | 20007-2113
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Country | US
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Telephone | 202-444-6680
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Fax |
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Provider Business Mailing Address
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Address Line | 11979 BARREL COOPER CT
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City | RESTON
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State | VA
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Zip | 20191-2320
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Country | US
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Telephone | 702-336-4751
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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 | RN1019673
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License Number State | DC
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