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NPI 1902945728

NPI 1902945728 : ADRIANA R DEBELLA CRNA : KING OF PRUSSIA, PA

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General NPI Number Information
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    NPI Number           |    1902945728
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    Entity Type          |    Individual 
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    Provider Name        |    ADRIANA R DEBELLA CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/06/2007
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    Last Update Date     |    03/06/2020
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Provider Practice Location Address
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    Address Line         |    700 S HENDERSON RD STE B 
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    City                 |    KING OF PRUSSIA
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    State                |    PA
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    Zip                  |    19406-3530
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    Country              |    US
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    Telephone            |    610-337-2828
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13 SAGEWOOD DR 
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    City                 |    MALVERN
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    State                |    PA
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    Zip                  |    19355-2234
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    Country              |    US
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    Telephone            |    610-733-5883
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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       |    RN519647L
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    License Number State |    PA
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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       |    26NR12866900
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    License Number State |    NJ
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