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General NPI Number Information
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NPI Number | 1962870907
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Entity Type | Individual
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Provider Name | ALBERT TELFER NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 790 S STATE ST STE 6
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City | SAN JACINTO
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State | CA
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Zip | 92583-4924
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Country | US
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Telephone | 951-652-6002
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Fax |
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Provider Business Mailing Address
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Address Line | 28932 WALLFLOWER WAY
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City | MURRIETA
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State | CA
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Zip | 92563-3483
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Country | US
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Telephone | 909-269-0643
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95002211
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95002211
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License Number State | CA
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