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General NPI Number Information
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NPI Number | 1710139290
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Entity Type | Individual
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Provider Name | ALICIA TERRADO-LOCQUIAO RN, MSN, CNS
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Gender | Female
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 1761 BROADWAY ST HOSPICE
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City | VALLEJO
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State | CA
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Zip | 94589-2226
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Country | US
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Telephone | 707-645-2730
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Fax | 707-645-2126
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Provider Business Mailing Address
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Address Line | 206 CLEARVIEW DR
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City | VALLEJO
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State | CA
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Zip | 94591-7139
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 260428
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License Number State | CA
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