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General NPI Number Information
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NPI Number | 1275487613
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Entity Type | Individual
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Provider Name | MARIA CATHARINE ROE RN
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Gender | Female
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 1935 1ST AVE
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City | LONGVIEW
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State | WA
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Zip | 98632-3224
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Country | US
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Telephone | 360-577-3094
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Fax |
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Provider Business Mailing Address
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Address Line | 317 COPPER CREEK RD
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City | WOODLAND
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State | WA
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Zip | 98674-8302
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Country | US
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Telephone | 360-713-2030
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | RN00170583
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License Number State | WA
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