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General NPI Number Information
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NPI Number | 1295108785
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Entity Type | Individual
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Provider Name | XIOMARA CASILLAS 18055 RN
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Gender | Female
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | HC 1 BOX 4593
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City | NAGUABO
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State | PR
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Zip | 00718-9722
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Country | US
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Telephone | 787-861-7777
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Fax | 787-266-7318
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Provider Business Mailing Address
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Address Line | HC-1 BOX 4593
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City | NAGUABO
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State | PUERTO RICO
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Zip | 00718
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Country | UM
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Telephone | 787-861-7777
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Fax | 787-266-7318
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 18055
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License Number State | PR
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