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General NPI Number Information
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NPI Number | 1215572391
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Entity Type | Individual
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Provider Name | LISA SAY MENG RN, FNP
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Gender | Female
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Dates
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Enumeration Date | 11/12/2019
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 6655 ALVARADO RD
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City | SAN DIEGO
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State | CA
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Zip | 92120-5208
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Country | US
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Telephone | 619-229-3320
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Fax |
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Provider Business Mailing Address
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Address Line | 4274 SAGINAW AVE
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City | SAN DIEGO
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State | CA
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Zip | 92117-3844
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Country | US
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Telephone | 619-755-6972
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95018322
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95075653
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License Number State | CA
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