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General NPI Number Information
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NPI Number | 1841314895
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Entity Type | Individual
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Provider Name | MAUREEN CHRISTINA MCDONALD RN, MS, CNS
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 401 BICENTENNIAL WAY KAISER PERMANENTE MEDICAL CENTER
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City | SANTA ROSA
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State | CA
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Zip | 95403-2192
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Country | US
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Telephone | 707-571-4588
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Fax |
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Provider Business Mailing Address
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Address Line | 401 BICENTENNIAL WAY
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City | SANTA ROSA
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State | CA
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Zip | 95403-2149
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Country | US
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Telephone | 707-571-4588
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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 | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number | 316132
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License Number State | CA
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