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General NPI Number Information
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NPI Number | 1144183203
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Entity Type | Individual
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Provider Name | REYNOLD ZOLETA MSN, RN, ACNPC-AG
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Gender | Male
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 688 N RIMSDALE AVE APT 108
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City | COVINA
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State | CA
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Zip | 91722-3555
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Country | US
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Telephone | 626-617-4152
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Fax |
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Provider Business Mailing Address
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Address Line | 688 N RIMSDALE AVE APT 108
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City | COVINA
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State | CA
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Zip | 91722-3555
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Country | US
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Telephone |
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 95036260
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License Number State | CA
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