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General NPI Number Information
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NPI Number | 1356892400
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Entity Type | Individual
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Provider Name | MAGGIE WAINAINA
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Gender | Female
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 177 JOHN HENRY CIR
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City | FOLSOM
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State | CA
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Zip | 95630-8113
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Country | US
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Telephone | 443-846-6642
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Fax | 443-846-6642
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Provider Business Mailing Address
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Address Line | 177 JOHN HENRY CIR
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City | FOLSOM
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State | CA
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Zip | 95630-8113
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Country | US
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Telephone | 443-285-0807
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LP47332
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 743469
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License Number State | CA
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