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General NPI Number Information
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NPI Number | 1700025889
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Entity Type | Individual
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Provider Name | MS. MAUREEN MACDONALD
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Gender | Female
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 350 N WILMOT RD CARONDELET ST. JOSEPH'S HOSP. DIABETES CARE CENTER
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City | TUCSON
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State | AZ
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Zip | 85711-2602
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Country | US
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Telephone | 520-873-3968
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Fax |
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Provider Business Mailing Address
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Address Line | 10124 E ARIZMO ST
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City | TUCSON
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State | AZ
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Zip | 85748-1817
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Country | US
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Telephone | 520-760-0268
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-12669
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License Number State | AZ
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