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General NPI Number Information
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NPI Number | 1912155540
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Entity Type | Individual
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Provider Name | MARISOL DELGADILLO RN
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Gender | Female
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 1431 MCHENRY AVE STE 100
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City | MODESTO
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State | CA
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Zip | 95350-4534
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Country | US
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Telephone | 209-579-2300
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Fax | 209-579-1948
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Provider Business Mailing Address
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Address Line | 1691 THE ALAMEDA
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City | SAN JOSE
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State | CA
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Zip | 95126-2203
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Country | US
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Telephone | 408-287-7532
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Fax | 408-287-0405
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN729345
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License Number State | CA
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