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General NPI Number Information
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NPI Number | 1922780956
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Entity Type | Individual
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Provider Name | MARIA KATHLEEN CODEN CRUZ MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 9539 LANGLEY RD
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2140
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Country | US
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Telephone | 661-615-6610
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Fax |
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Provider Business Mailing Address
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Address Line | 11600 PRESIDENTIAL RD
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City | BAKERSFIELD
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State | CA
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Zip | 93312-8258
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Country | US
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Telephone | 661-617-0976
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95018995
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License Number State | CA
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