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General NPI Number Information
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NPI Number | 1992690481
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Entity Type | Individual
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Provider Name | KIARA JAMES CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 2222 W GRAND RIVER AVE STE A
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City | OKEMOS
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State | MI
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Zip | 48864-1604
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Country | US
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Telephone | 443-869-7316
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 CAMPAU FARMS CIR
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City | DETROIT
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State | MI
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Zip | 48207-5169
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Country | US
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Telephone |
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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 | 4704427923
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License Number State | MI
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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 | 117275-23
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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 | 1207787
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4044044
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License Number State | KY
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