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General NPI Number Information
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NPI Number | 1346130036
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Entity Type | Organization
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Legal Business Name | PRN FIRST ASSIST
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 2500 GRANT RD
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4302
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Country | US
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Telephone | 650-940-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 OCEAN VIEW AVE
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City | DALY CITY
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State | CA
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Zip | 94014-1272
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Country | US
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Telephone | 310-849-3535
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MR. JEREMY MONTEMAYOR
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Credential | NP
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Telephone | 310-849-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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