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General NPI Number Information
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NPI Number | 1518851567
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Entity Type | Organization
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Legal Business Name | HOLISTIC ALLIANCE NURSING PCORP
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 914 E 8TH ST STE 210
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2565
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Country | US
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Telephone | 858-402-0001
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Fax | 858-402-0002
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Provider Business Mailing Address
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Address Line | 1705 CARRILLO PL UNIT 2
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City | CHULA VISTA
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State | CA
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Zip | 91913-3245
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | HILARIO NOVENO JR.
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Credential | NP
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Telephone | 619-874-4920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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