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General NPI Number Information
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NPI Number | 1992794234
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Entity Type | Individual
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Provider Name | LIZABETH SHERTZ CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 246 WHEATSHEAF LN
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City | LANGHORNE
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State | PA
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Zip | 19047-1551
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Country | US
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Telephone | 215-757-5594
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Fax | 215-757-4127
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Provider Business Mailing Address
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Address Line | 850 SYMPHONY LN
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City | BLUE BELL
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State | PA
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Zip | 19422-1731
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Country | US
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Telephone | 215-757-5594
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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 | RN231586L
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License Number State | PA
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