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General NPI Number Information
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NPI Number | 1730649187
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Entity Type | Individual
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Provider Name | SAVANNAH JADE APPEL NP
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Gender | Female
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 03/21/2019
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Provider Practice Location Address
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Address Line | 1595 GRAND AVE STE 102
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City | SAN MARCOS
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State | CA
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Zip | 92078-2450
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Country | US
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Telephone | 760-798-0428
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Fax |
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Provider Business Mailing Address
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Address Line | 677 KAY AVE
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City | TRINIDAD
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State | CA
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Zip | 95570-9727
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Country | US
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Telephone | 707-845-6544
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95011427
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License Number State | CA
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