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General NPI Number Information
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NPI Number | 1336652098
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Entity Type | Individual
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Provider Name | MARIA GUADALUPE AGUADO RN
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Gender | Female
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 11/15/2017
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Provider Practice Location Address
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Address Line | 125 N 18TH ST
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City | MOUNT VERNON
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State | WA
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Zip | 98273-3902
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Country | US
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Telephone | 360-848-6616
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Fax | 360-588-5565
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Provider Business Mailing Address
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Address Line | 1710 E FIR ST
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City | MOUNT VERNON
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State | WA
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Zip | 98273-2556
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Country | US
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Telephone | 360-941-0197
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN60466786
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License Number State | WA
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