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General NPI Number Information
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NPI Number | 1538620125
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Entity Type | Organization
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Legal Business Name | ADVANCED CARE NURSING CORPORATION
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 739 E PENNSYLVANIA AVE STE C
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City | ESCONDIDO
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State | CA
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Zip | 92025-3004
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Country | US
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Telephone | 760-855-6416
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Fax | 619-566-3622
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Provider Business Mailing Address
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Address Line | 739 E PENNSYLVANIA AVE STE C
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City | ESCONDIDO
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State | CA
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Zip | 92025-3004
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Country | US
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Telephone | 760-855-6416
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Fax | 619-566-3622
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Authorized Official
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Title or Position | CEO
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Name | DR. RAZEL BACUETES MILO
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Credential | PHD, FNP-C
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Telephone | 760-855-6416
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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 |
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License Number State |
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