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General NPI Number Information
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NPI Number | 1104744507
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Entity Type | Individual
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Provider Name | MIRANDA KASHELLE ZUNIGA RN-BSN
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 12424 N 32ND ST STE 100
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City | PHOENIX
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State | AZ
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Zip | 85032-7156
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Country | US
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Telephone | 480-284-7567
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Fax |
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Provider Business Mailing Address
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Address Line | 12636 N 113TH AVE
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City | YOUNGTOWN
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State | AZ
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Zip | 85363-1148
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Country | US
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Telephone | 602-686-0222
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 301785
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License Number State | AZ
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