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General NPI Number Information
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NPI Number | 1114800802
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Entity Type | Individual
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Provider Name | MARCELINO MAGLINTE JR. FNP
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 711 CAPITOL WAY S STE 204
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City | OLYMPIA
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State | WA
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Zip | 98501-1267
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Country | US
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Telephone | 623-439-4369
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Fax | 888-725-0660
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Provider Business Mailing Address
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Address Line | 5115 N DYSART RD STE 202-613
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-3032
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Country | US
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Telephone | 623-439-4369
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Fax | 888-725-0660
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95031756
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License Number State | CA
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