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General NPI Number Information
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NPI Number | 1700164209
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Entity Type | Individual
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Provider Name | KRISTINE FLORENCE PUNOHU CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 101 W 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-2307
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Country | US
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Telephone | 509-747-3131
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6210
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City | FARMINGTON
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State | NM
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Zip | 87499-6210
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Country | US
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Telephone | 505-609-2258
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Fax | 505-609-2259
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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 | AP60230452
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License Number State | WA
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