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General NPI Number Information
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NPI Number | 1033917307
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Entity Type | Individual
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Provider Name | INNA GRACHEVA FNP
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Gender | Female
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 5644 MISSION CENTER RD # 201
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City | SAN DIEGO
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State | CA
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Zip | 92108-4328
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Country | US
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Telephone | 619-395-0570
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Fax |
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Provider Business Mailing Address
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Address Line | 13366 VIA STEPHEN
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City | POWAY
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State | CA
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Zip | 92064-4841
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Country | US
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Telephone | 619-395-0570
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95032176
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License Number State | CA
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