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General NPI Number Information
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NPI Number | 1174529416
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Entity Type | Individual
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Provider Name | MARK ALAN CAIN R.N., N.P.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6530 LA CONTENTA RD SUITE 300
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-7314
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Country | US
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Telephone | 760-488-9708
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 789
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City | YUCCA VALLEY
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State | CA
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Zip | 92286-0789
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Country | US
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Telephone | 760-488-9708
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN263075
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | RN263075
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN263075
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | RN263075
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | RN263075
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP10894
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP10894
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 363LP1700X
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Taxonomy Name | Perinatal Nurse Practitioner
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License Number | NP10894
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP10894
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License Number State | CA
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Taxonomy #10
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 263075
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License Number State | CA
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