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General NPI Number Information
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NPI Number | 1417510199
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Entity Type | Individual
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Provider Name | MARIA SAQUIC FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 04/17/2019
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Provider Practice Location Address
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Address Line | 4288 KATELLA AVE
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3562
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Country | US
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Telephone | 562-296-8514
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Fax |
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Provider Business Mailing Address
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Address Line | 9802 SANTA GERTRUDES AVE
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City | WHITTIER
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State | CA
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Zip | 90603-1346
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Country | US
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Telephone | 424-263-7275
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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 | 95008923
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License Number State | CA
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