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General NPI Number Information
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NPI Number | 1073583985
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Entity Type | Individual
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Provider Name | JACQUELINE MARIA COTTEN CFNP/CPNP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 2122 S EL CAMINO REAL
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City | OCEANSIDE
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State | CA
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Zip | 92054-6209
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Country | US
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Telephone | 760-754-0974
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Fax | 760-945-3201
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Provider Business Mailing Address
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Address Line | 105 NOREEN PL
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City | OCEANSIDE
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State | CA
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Zip | 92054-3850
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Country | US
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Telephone | 760-721-2863
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Fax | 760-945-3201
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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 | 349415
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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 | 4346
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License Number State | CA
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