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General NPI Number Information
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NPI Number | 1386129294
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Entity Type | Individual
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Provider Name | CLAIRE KUGLER BIOLATTO NP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 2065 NE TUCSON WAY APT 110
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City | BEND
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State | OR
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Zip | 97701-5182
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Country | US
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Telephone | 541-383-3005
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Fax |
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Provider Business Mailing Address
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Address Line | 1915 NW 2ND ST
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City | BEND
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State | OR
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Zip | 97703-1203
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Country | US
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Telephone | 510-543-4353
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95010062
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 202000932
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License Number State | OR
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