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General NPI Number Information
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NPI Number | 1437406667
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Entity Type | Individual
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Provider Name | MARIA GUADALUPE TACHIQUIN RN
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Gender | Female
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 116 S PALISADE DR 104
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City | SANTA MARIA
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State | CA
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Zip | 93454-8904
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Country | US
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Telephone | 805-739-8613
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Fax | 805-739-8732
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Provider Business Mailing Address
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Address Line | 116 S PALISADE DR 104
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City | SANTA MARIA
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State | CA
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Zip | 93454-8904
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Country | US
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Telephone | 805-739-8613
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Fax | 805-739-8732
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | RN377511
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License Number State | CA
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