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General NPI Number Information
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NPI Number | 1912493255
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Entity Type | Individual
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Provider Name | GARY LEE BIGGE FNP
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Gender | Male
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 8800 GROSSMONT COLLEGE DR
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City | EL CAJON
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State | CA
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Zip | 92020-1765
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Country | US
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Telephone | 619-889-2898
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Fax |
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Provider Business Mailing Address
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Address Line | 11546 CORTINA PL
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City | SAN DIEGO
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State | CA
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Zip | 92131-6162
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Country | US
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Telephone | 619-889-2898
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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 | 95009165
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License Number State | CA
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