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General NPI Number Information
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NPI Number | 1023465747
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Entity Type | Individual
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Provider Name | TRESSA KATHLEEN NORTON-ROSALES FNP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2016
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 1030 E FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92543-4511
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Country | US
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Telephone | 951-216-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 215 S HICKORY ST
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City | ESCONDIDO
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State | CA
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Zip | 92025-4359
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Country | US
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Telephone | 833-867-4642
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95049217
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 95007636
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License Number State | CA
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