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General NPI Number Information
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NPI Number | 1154992022
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Entity Type | Individual
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Provider Name | DEHUSSA URBIETA DNP
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Gender | Female
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | NAVAL HEALTH CLINIC HAWAII 480 CENTRAL AVENUE
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City | PEARL HARBOR
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State | HI
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Zip | 99686
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Country | US
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Telephone | 808-474-4242
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Fax |
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Provider Business Mailing Address
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Address Line | NAVAL HEALTH CLINIC HAWAII 480 CENTRAL AVENUE
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City | PEARL HARBOR
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State | HI
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Zip | 99686
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95017750
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95017750
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License Number State | CA
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