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General NPI Number Information
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NPI Number | 1861038812
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Entity Type | Individual
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Provider Name | STEPHANIE GUTIERREZ-GUERRERO CMA
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Gender | Female
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 918 E MEAD AVE
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City | YAKIMA
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State | WA
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Zip | 98903-3720
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Country | US
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Telephone | 509-453-1344
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Fax | 509-453-2209
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Provider Business Mailing Address
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Address Line | 5607 HILLTOP DR
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City | YAKIMA
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State | WA
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Zip | 98901-1630
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Country | US
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Telephone | 509-969-5161
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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