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General NPI Number Information
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NPI Number | 1710415443
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Entity Type | Individual
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Provider Name | ALISSA ANN FRANKLIN CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 05/25/2017
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Provider Practice Location Address
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Address Line | 1800 E PARK AVE
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City | STATE COLLEGE
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State | PA
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Zip | 16803-6709
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Country | US
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Telephone | 717-437-1040
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Fax |
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Provider Business Mailing Address
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Address Line | 14A N BROWN ST
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City | LEWISTOWN
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State | PA
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Zip | 17044-1733
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Country | US
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Telephone | 717-437-1040
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Fax |
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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 | 116808
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License Number State | PA
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