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General NPI Number Information
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NPI Number | 1326856527
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Entity Type | Individual
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Provider Name | EDITH AQUINO
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Gender | Female
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 2101 ALEXIAN DR
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City | SAN JOSE
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State | CA
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Zip | 95116-1901
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Country | US
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Telephone | 408-272-6077
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Fax |
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Provider Business Mailing Address
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Address Line | 2444 LUCERNE WAY
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City | SAN JOSE
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State | CA
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Zip | 95122-1129
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Country | US
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Telephone | 408-881-4093
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 232108
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License Number State | CA
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