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General NPI Number Information
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NPI Number | 1710807870
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Entity Type | Individual
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Provider Name | ANYSSA SAMANIEGO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 15525 POMERADO RD # C-1B
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City | POWAY
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State | CA
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Zip | 92064-2435
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Country | US
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Telephone | 858-204-0529
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Fax |
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Provider Business Mailing Address
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Address Line | 12302 ORANGE PL
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City | CHINO
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State | CA
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Zip | 91710-2845
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Country | US
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Telephone | 909-519-1423
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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 | NP95039386
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License Number State | CA
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