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General NPI Number Information
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NPI Number | 1235088089
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Entity Type | Organization
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Legal Business Name | NAZLY REYES, A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 3010 VILLETA AVE
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City | CARLSBAD
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State | CA
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Zip | 92010-5589
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Country | US
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Telephone | 408-824-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 VILLETA AVE
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City | CARLSBAD
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State | CA
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Zip | 92010-5589
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Country | US
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Telephone | 408-824-2115
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | NAZLY REYES
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Credential | MSN, APRN, PMHNP-BC
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Telephone | 408-824-2115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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