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General NPI Number Information
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NPI Number | 1841575750
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Entity Type | Individual
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Provider Name | ELIZABETH ANN HOGG CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/12/2011
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 23901 LAHSER RD
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City | SOUTHFIELD
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State | MI
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Zip | 48033-6035
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Country | US
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Telephone | 248-357-3360
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 660857
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City | DALLAS
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State | TX
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Zip | 75266-0857
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Country | US
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Telephone | 972-715-5000
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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 | 4704238863
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License Number State | MI
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