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General NPI Number Information
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NPI Number | 1578170809
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Entity Type | Individual
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Provider Name | DEBORAH LEE TRUJILLO
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Gender | Female
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 1493 CAMBRIDGE ST
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City | CAMBRIDGE
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State | MA
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Zip | 02139-1047
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Country | US
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Telephone | 557-061-7665
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Fax |
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Provider Business Mailing Address
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Address Line | 4603 S DUDLEY ST
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City | LITTLETON
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State | CO
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Zip | 80123-1849
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Country | US
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Telephone | 720-585-6928
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 46386
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License Number State | CO
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