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General NPI Number Information
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NPI Number | 1790954865
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Entity Type | Individual
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Provider Name | NAOMI ALESSA MARR WHNP
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Gender | Female
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 2801 SANTA MARIA WAY
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City | SANTA MARIA
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State | CA
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Zip | 93455-2118
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Country | US
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Telephone | 805-934-5400
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Fax | 805-938-9207
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Provider Business Mailing Address
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Address Line | 791 PRICE ST # 170
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City | PISMO BEACH
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State | CA
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Zip | 93449-2529
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Country | US
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Telephone | 805-387-8651
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP 17941
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License Number State | CA
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