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General NPI Number Information
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NPI Number | 1164230561
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Entity Type | Individual
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Provider Name | PRINCE EVEN ARDEN EUGENIO RN, CNOR, RNFA
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Gender | Male
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 1700 MOUNT VERNON AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93306-4018
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Country | US
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Telephone | 661-326-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 9009 LILY CREST WAY
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City | SHAFTER
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State | CA
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Zip | 93263-9459
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Country | US
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Telephone | 661-584-8353
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 95250672
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License Number State | CA
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