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General NPI Number Information
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NPI Number | 1902511330
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Entity Type | Individual
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Provider Name | LISA MCALLISTER DHA, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 28237 LA PIEDRA RD RM 723
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City | MENIFEE
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State | CA
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Zip | 92584-8995
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Country | US
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Telephone | 951-487-3207
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Fax |
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Provider Business Mailing Address
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Address Line | 37004 ASCELLA LN
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City | MURRIETA
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State | CA
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Zip | 92563-2788
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Country | US
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Telephone | 951-375-6021
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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 | 95023949
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License Number State | CA
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