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General NPI Number Information
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NPI Number | 1255374690
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Entity Type | Individual
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Provider Name | KATHRYN JEAN VEYNA NP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 1304 ELLA ST STE A
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4165
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Country | US
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Telephone | 805-549-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 E. CHURCH STREET ATTENTION- MEDICAL STAFF OFFICE
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City | SANTA MARIA
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State | CA
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Zip | 93454
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Country | US
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Telephone | 805-739-3954
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN495632
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17233
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP14520
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License Number State | CA
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