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General NPI Number Information
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NPI Number | 1063077469
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Entity Type | Individual
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Provider Name | CECILIA RUZENA ROLDAN PERSON FNP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 60 E RIO SALADO PKWY STE 300
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City | TEMPE
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State | AZ
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Zip | 85281-9130
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Country | US
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Telephone | 615-465-8684
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Fax | 629-240-6003
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Provider Business Mailing Address
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Address Line | 5410 MARYLAND WAY STE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-8087
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Country | US
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Telephone | 615-465-8684
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Fax | 629-240-6003
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 89339
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5016249
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License Number State | NC
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