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General NPI Number Information
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NPI Number | 1275976920
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Entity Type | Individual
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Provider Name | JESSICA ROUGEE R.N., APRN, RX, NP-C
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Gender | Female
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 94-364 HOKUALA ST #184
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City | MILILANI
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State | HI
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Zip | 96789-2348
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Country | US
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Telephone | 808-206-6878
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Fax |
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Provider Business Mailing Address
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Address Line | 94-364 HOKUALA ST #184
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City | MILILANI
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State | HI
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Zip | 96789-2348
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-1532
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RX-502
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License Number State | HI
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