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General NPI Number Information
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NPI Number | 1184579070
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Entity Type | Individual
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Provider Name | IMAN AMIRA AUTMAN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 9888 GENESEE AVE
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City | LA JOLLA
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State | CA
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Zip | 92037-1205
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Country | US
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Telephone | 858-834-1798
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Fax |
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Provider Business Mailing Address
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Address Line | 10014 PASEO MONTRIL APT 105
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City | SAN DIEGO
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State | CA
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Zip | 92129-3918
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Country | US
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Telephone | 619-300-5584
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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 | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | CNS5500
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License Number State | CA
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