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General NPI Number Information
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NPI Number | 1003715830
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Entity Type | Individual
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Provider Name | KIRSTEN KHAYLE VILLANUEVA RN
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Gender |
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 3050 BOWERS AVE
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City | SANTA CLARA
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State | CA
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Zip | 95054-3201
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Country | US
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Telephone | 408-986-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 967 MANGROVE AVE APT 15
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City | SUNNYVALE
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State | CA
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Zip | 94086-8968
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95437326
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License Number State | CA
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