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General NPI Number Information
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NPI Number | 1003458050
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Entity Type | Individual
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Provider Name | BRENDA LUCERO CABRERA VILLAR
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Gender | Female
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 1801 PARK COURT PL BLDG H
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City | SANTA ANA
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State | CA
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Zip | 92701-5028
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Country | US
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Telephone | 510-268-8120
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Fax |
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Provider Business Mailing Address
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Address Line | 833 W STEVENS AVE APT 5
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City | SANTA ANA
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State | CA
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Zip | 92707-5009
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Country | US
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Telephone | 650-995-0516
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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 | 247000000X
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Taxonomy Name | Health Information Technician
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License Number |
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License Number State |
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