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NPI 1376093310

NPI 1376093310 : AMANDA VICTOR NASSER NP : LA JOLLA, CA

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General NPI Number Information
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    NPI Number           |    1376093310
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA VICTOR NASSER NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/13/2016
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    Last Update Date     |    03/07/2025
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Provider Practice Location Address
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    Address Line         |    9300 CAMPUS POINT DR 
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    City                 |    LA JOLLA
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    State                |    CA
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    Zip                  |    92037-1300
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    Country              |    US
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    Telephone            |    800-926-8273
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    Fax                  |    888-539-8781
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Provider Business Mailing Address
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    Address Line         |    FILE 57326 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90074-7326
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    Country              |    US
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    Telephone            |    
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    NP95005081
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    License Number State |    CA
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