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General NPI Number Information
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NPI Number | 1669265583
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Entity Type | Individual
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Provider Name | BAILEY PARK CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 715 N SAINT JOSEPH AVE
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City | HASTINGS
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State | NE
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Zip | 68901-4451
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Country | US
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Telephone | 402-460-5899
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Fax |
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Provider Business Mailing Address
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Address Line | 8771 EXECUTIVE WOODS DR APT 56
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City | LINCOLN
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State | NE
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Zip | 68512-9343
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Country | US
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Telephone |
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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 | 101926
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License Number State | NE
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