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General NPI Number Information
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NPI Number | 1831263250
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Entity Type | Individual
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Provider Name | OROPHENIA TY BOLLINGER CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 2025 MORSE AVE
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City | SACRAMENTO
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State | CA
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Zip | 95825-2115
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Country | US
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Telephone | 916-973-7696
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 HARRISON ST FL 7
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City | OAKLAND
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State | CA
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Zip | 94612-3466
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Country | US
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Telephone | 510-625-2856
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Fax | 877-738-4262
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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 | 3100
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License Number State | CA
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