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NPI 1699399196

NPI 1699399196 : CLARE HEDRICK PINDER DNP : LA JOLLA, CA

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General NPI Number Information
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    NPI Number           |    1699399196
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    Entity Type          |    Individual 
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    Provider Name        |    CLARE HEDRICK PINDER DNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/01/2020
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    Last Update Date     |    03/28/2023
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Provider Practice Location Address
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    Address Line         |    9834 GENESEE AVE STE 300 
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    City                 |    LA JOLLA
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    State                |    CA
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    Zip                  |    92037-1215
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    Country              |    US
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    Telephone            |    858-824-2900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    190 E BANNOCK ST 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83712-6241
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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    |    
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    95014566
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    75758
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    License Number State |    ID
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    95014566
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    License Number State |    CA
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