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General NPI Number Information
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NPI Number | 1356224505
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Entity Type | Individual
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Provider Name | JOHN PAUL BICOS MAGTALAS MSN, APRN, AGACNP
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Gender | Male
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 275 HOSPITAL PKWY
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City | SAN JOSE
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State | CA
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Zip | 95119-1106
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Country | US
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Telephone | 407-821-7116
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Fax |
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Provider Business Mailing Address
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Address Line | 4132 S 58TH LN # 85043
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City | PHOENIX
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State | AZ
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Zip | 85043-0147
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Country | US
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Telephone | 407-821-7116
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 261313
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License Number State | AZ
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