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General NPI Number Information
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NPI Number | 1154902948
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Entity Type | Individual
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Provider Name | TRAILE PHYLLIS EASLAND RN
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Gender | Female
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 3970 LA COLINA RD STE 2
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City | SANTA BARBARA
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State | CA
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Zip | 93110-4502
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Country | US
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Telephone | 805-570-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 BORTON DR
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City | SANTA BARBARA
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State | CA
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Zip | 93109-1838
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Country | US
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Telephone | 805-570-7770
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Fax | 805-845-5772
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 521328
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License Number State | CA
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