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General NPI Number Information
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NPI Number | 1013675867
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Entity Type | Individual
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Provider Name | KARLA TRUJILLO BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 6644 E BAYWOOD AVE
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City | MESA
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State | AZ
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Zip | 85206-1747
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Country | US
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Telephone | 480-321-4731
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Fax |
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Provider Business Mailing Address
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Address Line | 3526 S CHAPARRAL RD
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City | APACHE JUNCTION
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State | AZ
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Zip | 85119-3674
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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 | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | RN200791
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License Number State | AZ
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