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General NPI Number Information
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NPI Number | 1477796894
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Entity Type | Individual
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Provider Name | CARMELLA LOUISE FITZPATRICK LVN
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Gender | Female
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 8939 VILLA LA JOLLA DR SUITE 210 MAIL CODE 0945
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City | LA JOLLA
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State | CA
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Zip | 92037-1732
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Country | US
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Telephone | 858-657-7234
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 232503
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City | ENCINITAS
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State | CA
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Zip | 92023-2503
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Country | US
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Telephone | 760-846-3001
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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 | VN222223
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License Number State | CA
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