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General NPI Number Information
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NPI Number | 1497529812
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Entity Type | Individual
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Provider Name | SOFIA B FELICIANO DNP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 25220 HANCOCK AVE STE 100
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City | MURRIETA
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State | CA
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Zip | 92562-0901
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Country | US
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Telephone | 951-663-6746
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Fax |
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Provider Business Mailing Address
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Address Line | 30141 ANTELOPE RD STE D #1208
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City | MENIFEE
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State | CA
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Zip | 92584-8066
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Country | US
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Telephone | 951-595-7130
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95026429
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95170492
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License Number State | CA
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