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General NPI Number Information
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NPI Number | 1497300479
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Entity Type | Individual
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Provider Name | MONTRULA DONALDSON RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 292 EUCLID AVE STE 210
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City | SAN DIEGO
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State | CA
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Zip | 92114-3629
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Country | US
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Telephone | 619-266-3665
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Fax |
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Provider Business Mailing Address
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Address Line | 1216 BATTLE CREEK RD
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City | CHULA VISTA
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State | CA
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Zip | 91913-1635
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Country | US
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Telephone | 619-210-3153
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Fax | 619-271-5139
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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