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General NPI Number Information
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NPI Number | 1821081886
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Entity Type | Individual
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Provider Name | CATHERINE MARIE WESTROM CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 640 S STATE ST
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City | DOVER
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State | DE
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Zip | 19901-3530
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Country | US
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Telephone | 302-674-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 HARBOUR CV
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2810
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Country | US
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Telephone | 856-625-0367
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 863588
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | L60A11022
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | NR06460300
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License Number State | NJ
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