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General NPI Number Information
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NPI Number | 1770806978
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Entity Type | Individual
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Provider Name | SINA N CONICELLI CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 325 CHESTNUT ST STE 210
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City | PHILADELPHIA
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State | PA
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Zip | 19106-2602
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Country | US
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Telephone | 267-322-7705
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Fax |
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Provider Business Mailing Address
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Address Line | 12 AUSTIN RD
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City | MARLTON
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State | NJ
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Zip | 08053-3840
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Country | US
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Telephone | 609-417-4342
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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 | RN613529
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License Number State | PA
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