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General NPI Number Information
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NPI Number | 1952821704
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Entity Type | Individual
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Provider Name | CHRISTINA AQUINO
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 7417 N 67TH DR
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City | GLENDALE
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State | AZ
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Zip | 85303-2133
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Country | US
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Telephone | 480-430-8724
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Fax |
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Provider Business Mailing Address
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Address Line | 6537 N 55TH AVE UNIT 533
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City | GLENDALE
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State | AZ
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Zip | 85311-7923
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Country | US
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Telephone | 480-430-8724
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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 | CNA999997202
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License Number State | AZ
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