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General NPI Number Information
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NPI Number | 1497187090
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Entity Type | Individual
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Provider Name | PAILAI KING NP
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Gender | Female
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 3131 BERGER AVE STE 200
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City | SAN DIEGO
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State | CA
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Zip | 92123-4203
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Country | US
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Telephone | 858-244-6800
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Fax | 858-244-6809
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Provider Business Mailing Address
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Address Line | 3131 BERGER AVE STE 200
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City | SAN DIEGO
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State | CA
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Zip | 92123-4203
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Country | US
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Telephone | 858-244-6800
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Fax | 619-668-0049
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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 | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | 4021
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 23405
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License Number State | CA
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