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General NPI Number Information
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NPI Number | 1538084587
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Entity Type | Individual
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Provider Name | KALVINTINA LISA HUDSON RN
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 500 S NAVAJO DR
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City | PAGE
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State | AZ
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Zip | 86040-1397
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Country | US
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Telephone | 928-608-4366
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Fax | 928-608-4293
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Provider Business Mailing Address
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Address Line | PO BOX 34
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City | PAGE
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State | AZ
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Zip | 86040-0034
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Country | US
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Telephone | 928-608-4366
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 337045
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License Number State | AZ
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