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General NPI Number Information
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NPI Number | 1386877579
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Entity Type | Individual
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Provider Name | SANDRA LYNNE CORRIGAN FNP-BC, CNN
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Gender | Female
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 375 ROLLING OAKS DR STE 100
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1024
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Country | US
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Telephone | 805-497-7775
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Fax | 805-557-1074
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Provider Business Mailing Address
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Address Line | PO BOX 2160
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City | MOORPARK
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State | CA
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Zip | 93020-2160
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Country | US
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Telephone | 818-718-2301
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Fax | 818-718-2311
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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 | 163WD1100X
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Taxonomy Name | Peritoneal Dialysis Registered Nurse
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License Number | NP19226
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19226
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License Number State | CA
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