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General NPI Number Information
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NPI Number | 1407942238
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Entity Type | Individual
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Provider Name | MARIA PRINCIPE GENATO RNFA
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1600 W AVENUE J
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City | LANCASTER
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State | CA
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Zip | 93534-2814
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Country | US
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Telephone | 661-949-5000
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Fax | 661-726-6145
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Provider Business Mailing Address
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Address Line | 6201 SHADOW HILLS DR
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City | LANCASTER
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State | CA
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Zip | 93536-3715
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Country | US
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Telephone | 661-722-3768
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Fax | 661-718-2716
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 435464
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License Number State | CA
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