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NPI 1730590951

NPI 1730590951 : DAWN MILLS GRNA : ARLINGTON, TX

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General NPI Number Information
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    NPI Number           |    1730590951
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    Entity Type          |    Individual 
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    Provider Name        |    DAWN MILLS GRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/09/2014
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    Last Update Date     |    05/09/2014
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Provider Practice Location Address
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    Address Line         |    2000 E LAMAR BLVD SUITE 400
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76006-7346
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    Country              |    US
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    Telephone            |    817-861-3994
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3701 BUTLER ST APT 3 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15201-1847
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    Country              |    US
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    Telephone            |    415-794-9758
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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       |    RN534361
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    License Number State |    PA
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