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General NPI Number Information
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NPI Number | 1750339016
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Entity Type | Individual
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Provider Name | ROBYN L RIDDER CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 3015 N BALLAS RD
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2329
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Country | US
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Telephone | 800-862-9980
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Fax | 314-362-1185
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Provider Business Mailing Address
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Address Line | P O BOX 60352 DEPT OF ANESTHESIOLOGY
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City | SAINT LOUIS
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State | MO
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Zip | 63160-0352
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Country | US
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Telephone | 314-273-0500
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Fax | 314-273-0455
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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 | 086371
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License Number State | MO
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