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General NPI Number Information
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NPI Number | 1003068289
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Entity Type | Individual
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Provider Name | MARGARET CARRIZOSA NP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2008
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 41990 COOK ST STE F1007
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City | PALM DESERT
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State | CA
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Zip | 92211-6105
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Country | US
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Telephone | 760-565-6969
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Fax | 760-565-6966
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Provider Business Mailing Address
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Address Line | 41990 COOK ST STE F1007
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City | PALM DESERT
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State | CA
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Zip | 92211-6105
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Country | US
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Telephone | 760-565-6969
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Fax | 760-565-6966
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 18062
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License Number State | CA
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