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General NPI Number Information
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NPI Number | 1114488830
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Entity Type | Individual
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Provider Name | KELLI MAUREEN COMPEAN NP
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Gender | Female
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 892 AEROVISTA PL STE 240
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-8054
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Country | US
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Telephone | 805-541-8252
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Fax | 805-543-8252
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5631
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95011281
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | 95011281
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95011281
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95011281
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License Number State | CA
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