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General NPI Number Information
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NPI Number | 1033006150
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Entity Type | Individual
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Provider Name | PAULO VIANNEY VILELA RODRIGUES PHD, MSN, RN, BS.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 1615 DELAWARE ST
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City | LONGVIEW
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State | WA
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Zip | 98632-2367
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Country | US
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Telephone | 360-636-4865
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Fax |
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Provider Business Mailing Address
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Address Line | 607 C. STREET
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City | WASHOUGAL
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State | WA
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Zip | 98671
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Country | US
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Telephone | 503-791-2920
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Fax | 503-791-2920
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP.AP.70060199-NP
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61301773
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License Number State | WA
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