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General NPI Number Information
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NPI Number | 1700342946
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Entity Type | Individual
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Provider Name | ROSAE CAMARIN SHANDOR R.D.N.
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Gender | Female
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 116 W CHALAN SANTO PAPA
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City | HAGATNA
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State | GU
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Zip | 96910
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Country | US
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Telephone | 671-479-0055
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Fax | 671-477-8300
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Provider Business Mailing Address
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Address Line | 116 W CHALAN SANTO PAPA
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City | HAGATNA
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State | GU
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Zip | 96910
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Country | US
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Telephone | 671-479-0055
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Fax | 671-477-8300
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | D-33
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License Number State | GU
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