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General NPI Number Information
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NPI Number | 1518620756
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Entity Type | Individual
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Provider Name | DANIELLE PATTERSON PNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 6475 ALVARADO RD STE 120
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City | SAN DIEGO
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State | CA
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Zip | 92120-5007
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Country | US
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Telephone | 619-539-7459
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 BERNARDO AVE
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City | ESCONDIDO
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State | CA
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Zip | 92029-5616
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Country | US
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Telephone | 858-382-3478
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95018300
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License Number State | CA
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