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General NPI Number Information
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NPI Number | 1225995137
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Entity Type | Organization
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Legal Business Name | MONTECITO SPECIALTY CARE
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1187 COAST VILLAGE RD STE 1-747
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City | MONTECITO
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State | CA
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Zip | 93108-2737
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Country | US
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Telephone | 805-881-8512
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Fax |
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Provider Business Mailing Address
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Address Line | 1187 COAST VILLAGE RD STE 1-747
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City | MONTECITO
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State | CA
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Zip | 93108-2737
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Country | US
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Telephone | 805-881-8512
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Fax |
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Authorized Official
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Title or Position | FNP
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Name | CARRIE ANDERSON
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Credential | NURSE PRACTITIONER
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Telephone | 805-881-8512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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