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General NPI Number Information
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NPI Number | 1801472006
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Entity Type | Organization
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Legal Business Name | WW NP NURSING INC
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 1111 6TH AVE # M07
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City | SAN DIEGO
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State | CA
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Zip | 92101-5209
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Country | US
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Telephone | 858-999-6948
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Fax | 858-724-3892
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Provider Business Mailing Address
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Address Line | 1475 ISLAND AVE UNIT 3901
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City | SAN DIEGO
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State | CA
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Zip | 92101-8252
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Country | US
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Telephone | 858-999-6948
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Fax | 858-724-3892
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Authorized Official
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Title or Position | OWNER
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Name | MRS. WYTOSHERY MONEA WILLIAMS
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Credential | NURSE PRACTITIONER
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Telephone | 858-436-4850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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