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General NPI Number Information
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NPI Number | 1134093826
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Entity Type | Organization
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Legal Business Name | THE FUNCTIONAL APRN MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 3674 SANDPIPER WAY
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City | BREA
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State | CA
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Zip | 92823-1045
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Country | US
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Telephone | 562-447-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 3674 SANDPIPER WAY
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City | BREA
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State | CA
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Zip | 92823-1045
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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 | CEO
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Name | BRIANNA BATCHELOR
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Credential | CNM, APRN
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Telephone | 562-447-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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