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General NPI Number Information
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NPI Number | 1407170590
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Entity Type | Individual
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Provider Name | KEIRA KATHLEEN DILLON R.N., M.S.N, F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 3030 ENTERPRISE CT
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City | VISTA
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State | CA
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Zip | 92081-8362
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Country | US
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Telephone | 760-597-1500
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Fax | 760-597-3710
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Provider Business Mailing Address
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Address Line | 3030 ENTERPRISE CT
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City | VISTA
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State | CA
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Zip | 92081-8362
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Country | US
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Telephone | 760-597-1500
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Fax | 760-597-3710
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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 | 283958
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License Number State | CA
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