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General NPI Number Information
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NPI Number | 1518503218
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Entity Type | Individual
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Provider Name | ARLENE PFAFF RN, PHN
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Gender | Female
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 11/18/2019
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Provider Practice Location Address
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Address Line | 7947 MISSION CENTER CT
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City | SAN DIEGO
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State | CA
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Zip | 92108-1440
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Country | US
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Telephone | 619-767-5192
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Fax | 619-220-6403
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Provider Business Mailing Address
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Address Line | 7071 LEICESTER ST
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City | SAN DIEGO
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State | CA
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Zip | 92120-1237
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Country | US
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Telephone | 619-988-3254
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Fax | 619-220-6403
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 554560
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 831551
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License Number State | CA
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