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General NPI Number Information
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NPI Number | 1710079561
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Entity Type | Individual
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Provider Name | PATRICIA L TRAVIS CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 10400 LITTLE PATUXENT PKWY STE 240
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City | COLUMBIA
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State | MD
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Zip | 21044-3540
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Country | US
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Telephone | 321-422-7110
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Fax | 407-667-4338
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Provider Business Mailing Address
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Address Line | 10400 LITTLE PATUXENT PKWY STE 240
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City | COLUMBIA
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State | MD
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Zip | 21044-3540
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Country | US
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Telephone | 321-422-7110
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Fax | 407-667-4338
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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 | AC000537
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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 | L60A00284
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License Number State | DE
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