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General NPI Number Information
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NPI Number | 1871709329
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Entity Type | Individual
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Provider Name | TERESE PALAZZO TRUJILLO N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 1509 E VALLEY PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92027-2315
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Country | US
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Telephone | 760-746-1562
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Fax | 760-746-0711
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Provider Business Mailing Address
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Address Line | 14649 EVENING STAR DR
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City | POWAY
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State | CA
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Zip | 92064-3016
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Country | US
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Telephone | 858-231-0654
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Fax | 858-679-1932
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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 | 13357
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License Number State | CA
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