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General NPI Number Information
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NPI Number | 1902182488
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Entity Type | Individual
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Provider Name | KRYSTAL F SEGANTIM CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 5501 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-9152
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Country | US
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Telephone | 956-661-0529
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Fax | 956-618-4639
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Provider Business Mailing Address
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Address Line | 4900 N MCCOLL RD UNIT 594
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City | MCALLEN
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State | TX
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Zip | 78504-2351
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Country | US
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Telephone | 956-661-0529
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Fax | 956-618-4639
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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 | 87961
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License Number State | TX
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