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General NPI Number Information
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NPI Number | 1114310216
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Entity Type | Individual
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Provider Name | THERESA ASMUS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 10155 PACIFIC HEIGHTS BLVD.
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City | SAN DIEGO
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State | CA
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Zip | 92121
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Country | US
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Telephone | 858-651-5918
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Fax | 858-622-1658
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Provider Business Mailing Address
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Address Line | 10155 PACIFIC HEIGHTS BLVD.
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City | SAN DIEGO
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State | CA
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Zip | 92121
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Country | US
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Telephone | 858-651-5918
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Fax | 858-622-1658
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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 | 95002039
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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 | NP95002039
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License Number State | CA
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