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General NPI Number Information
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NPI Number | 1104077288
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Entity Type | Individual
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Provider Name | MRS. PARIS CONNER
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Gender | Female
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 2629 ANNAPOLIS CIRCLE
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City | SAN BERNARDINO
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State | CA
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Zip | 92408
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Country | US
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Telephone | 909-254-1781
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Fax |
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Provider Business Mailing Address
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Address Line | 986 W TIBBOT ST
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City | RIALTO
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State | CA
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Zip | 92377-8200
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Country | US
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Telephone | 92-731-5389
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 361533
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 152437
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License Number State | CA
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