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General NPI Number Information
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NPI Number | 1669721023
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Entity Type | Individual
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Provider Name | ABBIE L JUNGERMANN CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 70 DUBOIS STREET ST LUKES/ CORNWALL HOSPITAL
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City | NEWBURGH
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State | NY
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Zip | 12550
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Country | US
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Telephone | 845-561-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CATHARINE STREET MID-HUDSON ANESTHESIOLOGISTS, PC
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City | POUGHKEEPSIE
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State | NY
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Zip | 12602
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Country | US
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Telephone | 866-885-2318
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Fax | 845-790-2675
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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 | R200409
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License Number State | MD
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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 | 618232-1
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License Number State | NY
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