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General NPI Number Information
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NPI Number | 1023051869
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Entity Type | Individual
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Provider Name | NICOLE DENISE KASTNER RN,MSN,CPNP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6475 ALVARADO RD SUITE #120
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City | SAN DIEGO
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State | CA
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Zip | 92120-5003
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Country | US
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Telephone | 619-583-6133
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Fax | 619-583-0321
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Provider Business Mailing Address
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Address Line | 4617 SIERRA MORENA AVE
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City | CARLSBAD
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State | CA
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Zip | 92010-2836
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Country | US
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Telephone | 760-729-2999
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 14131
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License Number State | CA
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