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General NPI Number Information
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NPI Number | 1497158901
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Entity Type | Individual
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Provider Name | MARIA NANNETTE HIGWIT RODRIGUEZ NP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 18011 PIONEER BLVD
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City | ARTESIA
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State | CA
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Zip | 90701-3904
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Country | US
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Telephone | 562-402-0711
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Fax | 562-402-4338
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Provider Business Mailing Address
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Address Line | 6971 SAN PASQUAL CIR
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City | BUENA PARK
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State | CA
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Zip | 90620-3028
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Country | US
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Telephone | 562-213-3046
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Fax | 714-723-6044
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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 | 95001431
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License Number State | CA
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