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General NPI Number Information
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NPI Number | 1851354955
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Entity Type | Individual
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Provider Name | HOLLY F THIEL CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 06/01/2009
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL ANESTHESIOLOGY - BOX 1010
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City | NEW YORK
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State | NY
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Zip | 10029-6500
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Country | US
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Telephone | 800-627-4470
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Fax | 412-937-5767
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Provider Business Mailing Address
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Address Line | 450 E 83RD ST APT 6C
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City | NEW YORK
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State | NY
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Zip | 10028-6140
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Country | US
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Telephone | 646-752-7969
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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 | 511144-1
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License Number State | NY
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