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General NPI Number Information
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NPI Number | 1124471628
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Entity Type | Individual
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Provider Name | MIGUEL RUVALCABA FNP
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Gender | Male
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 5111 EUREKA AVE
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City | YORBA LINDA
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State | CA
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Zip | 92886-3970
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Country | US
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Telephone | 562-534-8473
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Fax |
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Provider Business Mailing Address
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Address Line | 5111 EUREKA AVE
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City | YORBA LINDA
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State | CA
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Zip | 92886-3970
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Country | US
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Telephone | 562-534-8473
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95003841
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201601589NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95003841
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201501589NP-PP
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License Number State | OR
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