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General NPI Number Information
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NPI Number | 1093521346
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Entity Type | Individual
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Provider Name | KRESTA GRABAU RN
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 18111 BROOKHURST ST STE 4300
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6728
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Country | US
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Telephone | 714-378-7650
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Fax |
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Provider Business Mailing Address
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Address Line | 386 N EARLHAM ST
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City | ORANGE
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State | CA
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Zip | 92869-2906
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Country | US
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Telephone | 619-549-3989
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 719888
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 719888
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 719888
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 719888
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License Number State | CA
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