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General NPI Number Information
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NPI Number | 1922485028
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Entity Type | Individual
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Provider Name | CORTNEY JOLIN MSN
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Gender | Female
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 107 S HOLLISTON AVE APT 103
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City | PASADENA
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State | CA
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Zip | 91106-2640
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Country | US
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Telephone | 815-690-3557
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Fax |
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Provider Business Mailing Address
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Address Line | 5097 FABERGE PL
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City | SARASOTA
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State | FL
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Zip | 34233-1462
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Country | US
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Telephone | 815-690-3557
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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 | APRN11040500
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License Number State | FL
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