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General NPI Number Information
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NPI Number | 1881042786
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Entity Type | Individual
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Provider Name | ROSELIE NOELLE COURCHESNE CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 3401 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5103
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Country | US
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Telephone | 215-707-3326
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Fax | 215-707-8028
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Provider Business Mailing Address
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Address Line | 3500 N BROAD ST RM 1A
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City | PHILADELPHIA
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State | PA
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Zip | 19140-4106
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Country | US
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Telephone | 215-707-2433
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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 | 26NJ00714100
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License Number State | NJ
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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 | 4044391
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | D185130
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN647911
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License Number State | PA
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