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General NPI Number Information
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NPI Number | 1922283860
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Entity Type | Individual
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Provider Name | JENNY M POLIAN CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 1737 BRIARCREST DR SUITE 14
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City | BRYAN
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State | TX
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Zip | 77802-2769
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Country | US
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Telephone | 979-776-4777
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Fax | 979-776-0588
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Provider Business Mailing Address
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Address Line | 1737 BRIARCREST DR SUITE 14
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City | BRYAN
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State | TX
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Zip | 77802-2769
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Country | US
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Telephone | 979-776-4777
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Fax | 979-776-0588
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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 | APN13090
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License Number State | TN
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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 | 78189
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License Number State | TN
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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 | AP131890
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License Number State | TX
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