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General NPI Number Information
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NPI Number | 1962725382
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Entity Type | Individual
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Provider Name | MASSANU ARISBE SIRLEAF ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 1351 BROADWAY
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City | EL CAJON
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State | CA
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Zip | 92021-5811
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Country | US
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Telephone | 414-704-3022
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Fax | 619-567-2455
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Provider Business Mailing Address
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Address Line | PO BOX 15788
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City | SAN DIEGO
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State | CA
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Zip | 92175-5788
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Country | US
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Telephone | 858-278-8110
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Fax | 858-810-7196
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 236467
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 5004684
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 9237954
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95000692
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License Number State | CA
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