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NPI 1902315252

NPI 1902315252 : MARIA LILIANA IBARRA : BURLINGTON, WA

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General NPI Number Information
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    NPI Number           |    1902315252
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    Entity Type          |    Individual 
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    Provider Name        |    MARIA LILIANA IBARRA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/28/2017
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    Last Update Date     |    10/05/2017
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Provider Practice Location Address
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    Address Line         |    100 S CHERRY ST 
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    City                 |    BURLINGTON
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    State                |    WA
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    Zip                  |    98233-1810
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    Country              |    US
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    Telephone            |    361-391-4393
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    Fax                  |    360-422-5299
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1534 
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    City                 |    BURLINGTON
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    State                |    WA
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    Zip                  |    98233-0619
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    Country              |    US
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    Telephone            |    360-391-4393
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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        |    171R00000X
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    Taxonomy Name        |    Interpreter
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    License Number       |    MC53320
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    171R00000X
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    Taxonomy Name        |    Interpreter
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    License Number       |    0363797
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    License Number State |    WA
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