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General NPI Number Information
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NPI Number | 1376301275
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Entity Type | Individual
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Provider Name | NICOLE MARIE SANTOS RN
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Gender | Female
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Dates
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Enumeration Date | 03/06/2024
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 9984 SCRIPPS RANCH BLVD UNIT 960
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City | SAN DIEGO
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State | CA
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Zip | 92131-1825
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Country | US
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Telephone | 619-880-6603
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Fax |
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Provider Business Mailing Address
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Address Line | 8899 UNIVERSITY CENTER LN STE 240
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City | SAN DIEGO
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State | CA
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Zip | 92122-1039
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Country | US
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Telephone | 858-249-4070
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Fax | 858-249-4071
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95035252
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1685358
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95292032
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1000855
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95035252
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License Number State | CA
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