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General NPI Number Information
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NPI Number | 1568357655
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Entity Type | Organization
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Legal Business Name | ST. VINCENT MOBILE NURSING PROVIDERS PC
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 2127 OLYMPIC PKWY STE 1006-114
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City | CHULA VISTA
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State | CA
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Zip | 91915-1359
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Country | US
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Telephone | 806-445-6589
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Fax |
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Provider Business Mailing Address
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Address Line | 2127 OLYMPIC PKWY STE 1006-114
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City | CHULA VISTA
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State | CA
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Zip | 91915-1359
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Country | US
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Telephone | 806-445-6589
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JOEY ASUMBRADO
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Credential | NP
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Telephone | 806-445-6589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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