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General NPI Number Information
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NPI Number | 1689362733
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Entity Type | Individual
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Provider Name | CRYSTAL L HORIUCHI RN
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Gender | Female
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | UNIT #15245; BLDG 3031
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City | APO
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State | AP
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Zip | 96271
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Country | US
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Telephone | 50-337-1411
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 333 BOX 295
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City | APO
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State | AP
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Zip | 96251-0003
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN.RN.60137671.MS
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | RN.RN.60137671.MSL
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60137671
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License Number State | WA
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