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General NPI Number Information
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NPI Number | 1104308188
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Entity Type | Individual
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Provider Name | CARINA YVETTE REW RN, BSN, MSN, AG-CNS
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Gender | Female
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 1111 W 34TH ST STE 200
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City | AUSTIN
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State | TX
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Zip | 78705-1916
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Country | US
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Telephone | 512-454-4588
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Fax | 512-459-9869
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Provider Business Mailing Address
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Address Line | PO BOX 10597
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City | AUSTIN
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State | TX
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Zip | 78766-1597
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Country | US
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Telephone | 512-485-5889
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Fax | 512-420-0397
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | AP138431
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License Number State | TX
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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 | 783978
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License Number State | TX
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