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General NPI Number Information
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NPI Number | 1750365011
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Entity Type | Individual
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Provider Name | SUSAN M ALLIG CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 20680 SENECA MEADOWS PKWY STE 200
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City | GERMANTOWN
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State | MD
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Zip | 20876-7029
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Country | US
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Telephone | 301-701-6900
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Fax | 703-742-9081
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Provider Business Mailing Address
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Address Line | 9407 CHADBURN PL
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City | MONTGOMERY VILLAGE
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State | MD
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Zip | 20886-4031
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Country | US
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Telephone | 240-620-3303
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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 | R065088
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License Number State | MD
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