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General NPI Number Information
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NPI Number | 1164880100
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Entity Type | Individual
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Provider Name | MEGHAN CATHLEEN TOLENTINO NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 947 N HART ST
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City | ORANGE
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State | CA
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Zip | 92867-6220
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Country | US
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Telephone | 562-243-8398
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Fax |
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Provider Business Mailing Address
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Address Line | 947 N HART ST
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City | ORANGE
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State | CA
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Zip | 92867-6220
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Country | US
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Telephone | 562-243-8398
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 721285
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95003712
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License Number State | CA
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