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General NPI Number Information
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NPI Number | 1992831754
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Entity Type | Organization
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Legal Business Name | NIFA INC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 1110 S MAIN AVE
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City | FALLBROOK
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State | CA
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Zip | 92028-3325
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Country | US
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Telephone | 760-731-0313
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Fax | 760-731-0414
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Provider Business Mailing Address
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Address Line | PO BOX 2797
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City | FALLBROOK
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State | CA
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Zip | 92088-2797
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Country | US
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Telephone | 760-731-0313
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Fax | 760-731-0414
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY HARGREAVES
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Credential |
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Telephone | 760-731-0313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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