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General NPI Number Information
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NPI Number | 1235880295
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Entity Type | Individual
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Provider Name | ALEXIS TELLIS NSEYA
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Gender | Female
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 300 14TH ST APT 1308
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City | SAN DIEGO
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State | CA
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Zip | 92101-7851
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Country | US
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Telephone | 850-390-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 300 14TH ST APT 1308
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City | SAN DIEGO
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State | CA
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Zip | 92101-7851
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Country | US
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Telephone | 850-390-2355
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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 | 95028118
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95249950
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN60859446
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License Number State | WA
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