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General NPI Number Information
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NPI Number | 1518609635
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Entity Type | Individual
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Provider Name | KENNETH GIORGI NP
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Gender | Male
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Dates
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Enumeration Date | 04/09/2022
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 2049 SKYLINE DR
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City | LEMON GROVE
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State | CA
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Zip | 91945-4221
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Country | US
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Telephone | 619-465-7303
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Fax |
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Provider Business Mailing Address
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Address Line | 2127 SUMMERHILL DR
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City | ENCINITAS
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State | CA
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Zip | 92024-5442
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Country | US
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Telephone | 203-908-5793
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G168990
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95020616
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License Number State | CA
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