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General NPI Number Information
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NPI Number | 1790790129
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Entity Type | Individual
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Provider Name | AMY K WIDELL CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 701 FAIRVIEW BLVD
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City | RED WING
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State | MN
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Zip | 55066-2848
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Country | US
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Telephone | 612-467-4698
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 WESTCLIFFE DR
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City | BURNSVILLE
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State | MN
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Zip | 55306-6905
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Country | US
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Telephone | 952-898-5179
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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 | R 147159-9
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License Number State | MN
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