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General NPI Number Information
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NPI Number | 1912933888
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Entity Type | Individual
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Provider Name | MELINDA ALBANIEL DUARTE FNP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 855 THIRD AVE SUITE 3300
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City | CHULA VISTA
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State | CA
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Zip | 91911-1354
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Country | US
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Telephone | 619-420-1200
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Fax | 619-420-8070
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Provider Business Mailing Address
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Address Line | 1692 PLANICIE WAY
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City | SAN DIEGO
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State | CA
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Zip | 92154-4149
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Country | US
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Telephone | 619-549-1039
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Fax | 619-271-2014
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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 | NP 13104
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License Number State | CA
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