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General NPI Number Information
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NPI Number | 1619615523
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Entity Type | Individual
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Provider Name | MARIA CRISTINA MALAMUG TRINIDAD DNP, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 1705 E 19TH ST STE 502
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City | TULSA
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State | OK
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Zip | 74104-5416
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Country | US
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Telephone | 918-748-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 1708 W DURHAM ST
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City | BROKEN ARROW
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State | OK
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Zip | 74011-4068
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Country | US
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Telephone | 918-984-7649
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R0065652
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License Number State | OK
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