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General NPI Number Information
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NPI Number | 1912452830
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Entity Type | Individual
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Provider Name | ERIKA MARIA SUATENGCO FISHER CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/20/2016
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 5601 DE SOTO AVE
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6701
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Country | US
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Telephone | 805-368-4624
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Fax |
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Provider Business Mailing Address
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Address Line | 4135 WADE ST
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City | LOS ANGELES
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State | CA
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Zip | 90066-5731
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Country | US
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Telephone | 805-368-4624
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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 | 95000639
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 776748
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License Number State | CA
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