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General NPI Number Information
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NPI Number | 1710049333
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Entity Type | Individual
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Provider Name | ANGELA CATHERINE QUINTANILLA CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 2202 S CEDAR ST SUITE 150
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City | TACOMA
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State | WA
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Zip | 98405-2318
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Country | US
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Telephone | 253-830-5432
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Fax | 253-830-5433
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Provider Business Mailing Address
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Address Line | 2202 S CEDAR ST STE 100
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City | TACOMA
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State | WA
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Zip | 98405-2318
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Country | US
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Telephone | 253-284-9231
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Fax | 253-284-9241
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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 | AP30005547
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License Number State | WA
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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 | RN198128
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP9340888
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 10021605
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License Number State | OR
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