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General NPI Number Information
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NPI Number | 1679412894
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Entity Type | Individual
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Provider Name | GUADALUPE ACOSTA-PELAYO
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Gender | Female
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 11702 YELM HWY SE
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City | OLYMPIA
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State | WA
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Zip | 98513-9109
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Country | US
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Telephone | 360-459-9603
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Fax |
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Provider Business Mailing Address
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Address Line | 7211 188TH STREET CT E
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City | PUYALLUP
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State | WA
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Zip | 98375-2424
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN70010302
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License Number State | WA
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