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General NPI Number Information
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NPI Number | 1740335173
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Entity Type | Individual
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Provider Name | CHARLENE GLADNEY FOSTER C.R.N.A.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 345 COLLEGE ST SE
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City | LACEY
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State | WA
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Zip | 98503-1014
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Country | US
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Telephone | 360-456-3200
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Fax | 360-456-3894
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Provider Business Mailing Address
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Address Line | 1318 S 284TH ST # L
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6111
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Country | US
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Telephone | 253-839-0885
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Fax | 253-449-1822
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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 | AP30001088
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License Number State | WA
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