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General NPI Number Information
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NPI Number | 1821053968
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Entity Type | Individual
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Provider Name | KRISTIN M SCHANTZEN CRNA, ACNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 55 FRUIT ST
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City | BOSTON
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State | MA
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Zip | 02114-2696
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Country | US
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Telephone | 617-726-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 8170 33RD AVE S # 21110Q
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City | BLOOMINGTON
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State | MN
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Zip | 55425-4516
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Country | US
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Telephone | 952-883-7961
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Fax | 952-883-5395
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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 | R1279021
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | MA2370709
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License Number State | MA
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