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General NPI Number Information
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NPI Number | 1154770089
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Entity Type | Individual
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Provider Name | JENAE CIUFFREDA CSOM, CBBA
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Gender | Female
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 240 S HICKORY ST STE 207
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City | ESCONDIDO
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State | CA
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Zip | 92025-4357
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Country | US
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Telephone | 760-580-5769
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Fax | 760-746-4069
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Provider Business Mailing Address
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Address Line | 240 S HICKORY ST STE 207
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City | ESCONDIDO
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State | CA
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Zip | 92025-4357
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Country | US
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Telephone | 760-580-5769
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Fax | 760-746-4069
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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