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General NPI Number Information
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NPI Number | 1154121358
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Entity Type | Individual
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Provider Name | ANGELA GRACE LLAMAS VILLANUEVA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 685 N 13TH AVE
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City | UPLAND
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State | CA
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Zip | 91786-4916
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Country | US
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Telephone | 714-603-9616
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Fax |
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Provider Business Mailing Address
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Address Line | 685 N 13TH AVE
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City | UPLAND
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State | CA
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Zip | 91786-4916
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Country | US
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Telephone | 909-981-8383
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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 | 95033468
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License Number State | CA
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