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General NPI Number Information
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NPI Number | 1316414170
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Entity Type | Individual
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Provider Name | JAQUELINE MANJARREZ DELGADO RN, RNFA
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Gender | Female
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 34515 9TH AVE S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6761
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Country | US
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Telephone | 253-835-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 32223 2ND AVE SW
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City | FEDERAL WAY
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State | WA
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Zip | 98023-5603
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Country | US
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Telephone | 509-759-3691
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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 | RN60431291
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License Number State | WA
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