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General NPI Number Information
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NPI Number | 1760448948
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Entity Type | Individual
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Provider Name | JANE COLLINS CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 639 N MULBERRY ST
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-1931
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Country | US
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Telephone | 270-737-4600
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Fax | 270-737-1722
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Provider Business Mailing Address
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Address Line | 220 WALNUT CREEK RD
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-8760
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Country | US
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Telephone | 270-737-4600
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Fax | 270-737-1722
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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 | 1097133
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License Number State | KY
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