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General NPI Number Information
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NPI Number | 1487566717
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Entity Type | Individual
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Provider Name | VANESSA MACIAS RN
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 9850 GENESEE AVE STE 400
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City | LA JOLLA
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State | CA
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Zip | 92037-1212
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Country | US
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Telephone | 858-558-8666
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Fax |
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Provider Business Mailing Address
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Address Line | 7084 FRIARS RD APT 206
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City | SAN DIEGO
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State | CA
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Zip | 92108-5109
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Country | US
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Telephone | 210-845-2340
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95444885
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License Number State | CA
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