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General NPI Number Information
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NPI Number | 1306525662
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Entity Type | Individual
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Provider Name | TOBIAH M CLUKEY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 3923 WARING RD STE A
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City | OCEANSIDE
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State | CA
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Zip | 92056-4499
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Country | US
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Telephone | 760-724-8782
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Fax | 760-842-7801
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Provider Business Mailing Address
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Address Line | 3923 WARING RD STE A
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City | OCEANSIDE
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State | CA
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Zip | 92056-4499
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Country | US
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Telephone | 760-724-8782
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Fax | 760-842-7801
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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 | 95025711
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License Number State | CA
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