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General NPI Number Information
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NPI Number | 1023899481
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Entity Type | Organization
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Legal Business Name | KRISTINE MBAMALU NURSE PRACTITIONER AND NURSING SERVICES INC
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 21550 OXNARD ST FL 3
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7105
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Country | US
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Telephone | 310-531-6645
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Fax |
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Provider Business Mailing Address
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Address Line | 21550 OXNARD ST FL 3
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7105
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Country | US
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Telephone | 310-531-6645
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Fax | 310-531-6645
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Authorized Official
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Title or Position | OWNER
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Name | KRISTINE MBAMALU
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Credential |
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Telephone | 310-531-6645
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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 |
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License Number State |
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Taxonomy #2
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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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