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NPI 1952384836

NPI 1952384836 : MARCIA GENEVA GNAGEY CRNA : CONCORD, MA

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General NPI Number Information
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    NPI Number           |    1952384836
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    Entity Type          |    Individual 
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    Provider Name        |    MARCIA GENEVA GNAGEY CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/23/2005
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    Last Update Date     |    08/21/2025
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Provider Practice Location Address
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    Address Line         |    133 OLD ROAD TO 9 ACRE COR 
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    City                 |    CONCORD
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    State                |    MA
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    Zip                  |    01742-4159
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    Country              |    US
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    Telephone            |    978-287-3162
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    133 OLD ROAD TO 9 ACRE COR 
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    City                 |    CONCORD
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    State                |    MA
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    Zip                  |    01742-4159
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    Country              |    US
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    Telephone            |    978-287-3162
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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       |    4044402
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    License Number State |    KY
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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       |    036764-23-11
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    License Number State |    NH
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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       |    167337
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    License Number State |    MA
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