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General NPI Number Information
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NPI Number | 1295941623
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Entity Type | Individual
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Provider Name | BRENDA J ALLEN RNCNP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4474 EL CAJON BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92115-4312
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Country | US
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Telephone | 619-283-6281
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Fax |
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Provider Business Mailing Address
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Address Line | 8552 GOLDEN RIDGE RD
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City | LAKESIDE
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State | CA
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Zip | 92040-5632
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Country | US
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Telephone | 619-561-2506
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 341015
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License Number State | CA
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