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General NPI Number Information
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NPI Number | 1154261071
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Entity Type | Individual
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Provider Name | MADELINE RACHEL ARRIAZA-ASENCIO
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Gender | Female
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 4570 US HIGHWAY 80 APT 603
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City | HAUGHTON
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State | LA
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Zip | 71037
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Country | US
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Telephone | 305-934-7010
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Fax |
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Provider Business Mailing Address
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Address Line | 4570 US HIGHWAY 80 APT 603
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City | HAUGHTON
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State | LA
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Zip | 71037
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN9689157
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License Number State | FL
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