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General NPI Number Information
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NPI Number | 1063188670
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Entity Type | Individual
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Provider Name | JONATHAN LAHUYNH APRN
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Gender | Male
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 8851 CENTER DR STE 505
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City | LA MESA
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State | CA
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Zip | 91942-3059
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Country | US
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Telephone | 619-461-3880
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Fax | 619-461-3895
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Provider Business Mailing Address
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Address Line | 4225 EXECUTIVE SQ STE 450
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City | LA JOLLA
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State | CA
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Zip | 92037-8411
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Country | US
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Telephone | 858-798-6123
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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 | 832724
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95033986
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95033986
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License Number State | CA
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