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General NPI Number Information
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NPI Number | 1184071102
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Entity Type | Organization
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Legal Business Name | JOHNS HOPKINS UNIVERSITY
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 7995 ARMOUR ST
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City | SAN DIEGO
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State | CA
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Zip | 92111-3717
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Country | US
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Telephone | 858-775-7372
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Fax |
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Provider Business Mailing Address
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Address Line | 7995 ARMOUR ST
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City | SAN DIEGO
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State | CA
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Zip | 92111-3717
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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 | NURSE PRACTITIONER/WELLNESS PROVIDE
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Name | CYNTHIA CADWELL
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Credential |
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Telephone | 858-775-7372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 305674 10471
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License Number State | CA
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