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General NPI Number Information
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NPI Number | 1275294621
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Entity Type | Individual
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Provider Name | BOBBIE AMANDA MUELA
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 3002 ARMSTRONG ST
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City | SAN DIEGO
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State | CA
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Zip | 92111-5702
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Country | US
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Telephone | 858-633-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 800 E LEXINGTON AVE APT 214
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City | EL CAJON
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State | CA
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Zip | 92020-8701
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Country | US
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Telephone | 626-482-4230
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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