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General NPI Number Information
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NPI Number | 1801471073
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Entity Type | Individual
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Provider Name | CONRADO MACAPAGAL VALIDO JR. LPN
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Gender | Male
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 1812 NEWPORT GAP PIKE
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City | WILMINGTON
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State | DE
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Zip | 19808-6179
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Country | US
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Telephone | 302-500-5910
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Fax | 302-500-5872
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Provider Business Mailing Address
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Address Line | 1812 NEWPORT GAP PIKE
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City | WILMINGTON
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State | DE
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Zip | 19808-6179
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Country | US
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Telephone | 860-514-8346
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Fax | 860-924-4559
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LN95244
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License Number State | MA
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