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General NPI Number Information
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NPI Number | 1023859600
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Entity Type | Individual
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Provider Name | SANDRA MABEL BUENRROSTRO REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 20151 NORDHOFF ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-6215
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Country | US
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Telephone | 818-407-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 12911 DEL SUR ST
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City | SAN FERNANDO
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State | CA
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Zip | 91340-1519
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Country | US
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Telephone | 818-403-0195
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 720066
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License Number State | CA
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