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NPI 1649064098

NPI 1649064098 : EVA M GUZMAN REYES RN : PASCO, WA

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General NPI Number Information
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    NPI Number           |    1649064098
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    Entity Type          |    Individual 
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    Provider Name        |    EVA M GUZMAN REYES RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/08/2025
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    Last Update Date     |    08/18/2026
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Provider Practice Location Address
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    Address Line         |    1608 ROAD 44 
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    City                 |    PASCO
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    State                |    WA
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    Zip                  |    99301-2667
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    Country              |    US
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    Telephone            |    509-543-9280
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 190 
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    City                 |    TOPPENISH
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    State                |    WA
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    Zip                  |    98948-0190
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    Country              |    US
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    Telephone            |    509-865-2395
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    Fax                  |    509-865-0757
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    041.524745
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    RN.RN.70114537
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    ARNP.AP.70158197-NP
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    License Number State |    WA
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Taxonomy #4
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    APTP.N3.70171073
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    License Number State |    WA
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