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General NPI Number Information
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NPI Number | 1740273168
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Entity Type | Individual
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Provider Name | DEBRA L KRISAK CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 651 DUNLOP LN
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City | CLARKSVILLE
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State | TN
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Zip | 37040-5015
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Country | US
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Telephone | 931-551-1795
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Fax |
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Provider Business Mailing Address
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Address Line | 110 29TH AVE N STE 202
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City | NASHVILLE
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State | TN
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Zip | 37203-1448
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Country | US
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Telephone | 615-327-4304
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Fax | 615-327-7940
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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 | TRN133089
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License Number State | AZ
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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 | 26N008165500
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License Number State | PA
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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 | ARNP9196067
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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 | 49297
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License Number State | TN
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