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General NPI Number Information
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NPI Number | 1861014664
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Entity Type | Individual
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Provider Name | ANNIE CAMACHO TRUSSO DNAP, CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | COMMONWEALTH HEALTH CENTER 500409
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City | SAIPAN
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State | MP
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Zip | 96950
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Country | US
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Telephone | 670-234-8950
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 502415
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City | SAIPAN
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State | MP
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Zip | 96950-2415
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Country | US
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Telephone |
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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 | RN1033578
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License Number State | DC
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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 | NP20010
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License Number State | MP
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