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General NPI Number Information
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NPI Number | 1962531301
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Entity Type | Individual
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Provider Name | ELIZABETH CHADENE KROME RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 3642 N SAMS DR
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City | WASILLA
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State | AK
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Zip | 99654-4311
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Country | US
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Telephone | 907-373-7767
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Fax | 907-373-9867
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Provider Business Mailing Address
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Address Line | PO BOX 876051
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City | WASILLA
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State | AK
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Zip | 99687-6051
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Country | US
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Telephone | 907-373-7767
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Fax | 907-373-9867
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 7956
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CM29031
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | CMG9061
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License Number State | AK
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