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General NPI Number Information
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NPI Number | 1679766117
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Entity Type | Individual
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Provider Name | BICH N TRAM CRNA, MSN
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Gender | Female
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 9674 ARCHIBALD AVE STE 125
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7944
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Country | US
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Telephone | 909-296-8930
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Fax | 909-296-8935
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Provider Business Mailing Address
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Address Line | 5 HOLLAND STE 101
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City | IRVINE
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State | CA
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Zip | 92618-2568
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Country | US
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Telephone | 949-588-2190
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Fax | 949-588-2199
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 580791
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License Number State | CA
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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 | 3203
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License Number State | CA
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