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General NPI Number Information
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NPI Number | 1932617214
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Entity Type | Individual
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Provider Name | EKATERINA GOLOVKO DNP, CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/20/2018
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 401 NW 42ND AVE
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City | PLANTATION
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State | FL
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Zip | 33317-2835
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Country | US
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Telephone | 954-205-1320
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Fax |
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Provider Business Mailing Address
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Address Line | 276 SPICEWOOD LN
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City | RUTHERFORDTON
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State | NC
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Zip | 28139-6614
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Country | US
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Telephone | 786-282-8203
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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 | ARNP9362697
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License Number State | FL
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