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General NPI Number Information
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NPI Number | 1982112959
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Entity Type | Individual
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Provider Name | RYAN ELIZABETH GALLETTA CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 01/11/2018
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Provider Practice Location Address
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Address Line | 777 HEMLOCK ST
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City | MACON
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State | GA
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Zip | 31201-2102
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Country | US
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Telephone | 478-633-2129
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Fax |
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Provider Business Mailing Address
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Address Line | 111 CHILDS RD
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City | GRAY
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State | GA
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Zip | 31032-5680
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Country | US
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Telephone | 678-925-2773
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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 | 224026
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License Number State | GA
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