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General NPI Number Information
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NPI Number | 1043799703
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Entity Type | Individual
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Provider Name | ZOHRA DAMAWAND FNP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 40700 CALIFORNIA OAKS RD STE 207
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City | MURRIETA
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State | CA
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Zip | 92562-5789
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Country | US
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Telephone | 951-412-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 29744 SKI RANCH ST
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City | MURRIETA
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State | CA
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Zip | 92563-4201
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Country | US
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Telephone | 317-615-9266
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | NP95030204
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95030204
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License Number State | CA
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