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General NPI Number Information
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NPI Number | 1578739702
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Entity Type | Individual
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Provider Name | LYNDON DAYAO AVELINO BSN, RN
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Gender | Male
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 7230 W LAMAR RD
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City | GLENDALE
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State | AZ
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Zip | 85303-7617
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Country | US
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Telephone | 623-242-9661
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Fax | 623-242-9661
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Provider Business Mailing Address
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Address Line | 7230 W LAMAR RD
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City | GLENDALE
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State | AZ
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Zip | 85303-7617
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Country | US
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Telephone | 623-242-9661
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Fax | 623-242-9661
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN096243
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN096243
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163WX0800X
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Taxonomy Name | Orthopedic Registered Nurse
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License Number | RN096243
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License Number State | AZ
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