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General NPI Number Information
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NPI Number | 1700861945
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Entity Type | Individual
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Provider Name | MARTHA MARIA POLIZZI CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 703 N. FLAMINGO ROAD SUITE A-250
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City | PEMBROKE PINES
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State | FL
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Zip | 33028
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Country | US
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Telephone | 954-436-5000
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Fax | 954-450-4449
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Provider Business Mailing Address
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Address Line | 1613 NORTH HARRISON PARKWAY SUITE 200
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City | SUNRISE
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State | FL
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Zip | 33323-2583
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Country | US
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Telephone | 954-838-2371
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Fax | 954-851-1746
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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 | ARNP9194063
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License Number State | FL
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