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General NPI Number Information
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NPI Number | 1437062122
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Entity Type | Organization
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Legal Business Name | POPULA HEALTH NURSING, INC.
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 1150 E ST UNIT 2505
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City | SAN DIEGO
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State | CA
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Zip | 92101-8723
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Country | US
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Telephone | 443-529-2027
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 E ST UNIT 2505
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City | SAN DIEGO
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State | CA
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Zip | 92101-8723
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Country | US
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Telephone | 443-529-2027
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TIMIKA GOODSON
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Credential | RN, APRN
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Telephone | 443-529-2027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number |
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License Number State |
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