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General NPI Number Information
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NPI Number | 1215521653
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Entity Type | Individual
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Provider Name | ALEJANDRA MARISCAL CANDIA RN
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Gender | Female
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 46 DUNLEAVEY BROOK DR
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City | UXBRIDGE
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State | MA
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Zip | 01569-3118
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Country | US
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Telephone | 401-489-2280
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Fax |
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Provider Business Mailing Address
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Address Line | 182 ENFIELD AVE
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City | PROVIDENCE
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State | RI
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Zip | 02908-1244
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Country | US
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Telephone | 401-489-2280
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN-TEMP4682
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN-TEMP4682
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License Number State | MA
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