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General NPI Number Information
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NPI Number | 1447781646
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Entity Type | Individual
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Provider Name | DANIELLE JULARBAL
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Gender | Female
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 09/01/2017
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Provider Practice Location Address
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Address Line | 545 LAUREL ST VISTA BALBOA
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City | SAN DIEGO
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State | CA
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Zip | 92101-1634
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Country | US
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Telephone | 619-233-4319
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Fax |
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Provider Business Mailing Address
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Address Line | 11195 LEE WAY APT. 34214
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City | SAN DIEGO
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State | CA
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Zip | 92126-6735
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Country | US
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Telephone | 858-368-9582
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN259669
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License Number State | CA
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