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General NPI Number Information
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NPI Number | 1821394065
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Entity Type | Individual
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Provider Name | JEAN P. VIEIRA CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 10 NOTTINGHAM TER
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City | CLIFTON
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State | NJ
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Zip | 07013-3110
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Country | US
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Telephone | 973-634-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 10 NOTTINGHAM TER
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City | CLIFTON
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State | NJ
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Zip | 07013-3110
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Country | US
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Telephone | 973-634-4242
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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 | 614061-1
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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 | 26NJ00319700
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License Number State | NJ
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