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General NPI Number Information
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NPI Number | 1639896665
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Entity Type | Individual
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Provider Name | MEIQI AN RN
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Gender | Female
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 9728 WINTER GARDENS BLVD
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City | LAKESIDE
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State | CA
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Zip | 92040-3809
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Country | US
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Telephone | 619-938-0069
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Fax |
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Provider Business Mailing Address
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Address Line | 11611 WESTVIEW PKWY
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City | SAN DIEGO
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State | CA
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Zip | 92126-5500
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Country | US
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Telephone | 619-709-0052
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 351848
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License Number State | NY
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