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General NPI Number Information
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NPI Number | 1265330112
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Entity Type | Individual
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Provider Name | STEVEN VIGIL FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/29/2026
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Last Update Date | 10/29/2026
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Provider Practice Location Address
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Address Line | 3536 CONCOURS
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City | ONTARIO
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State | CA
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Zip | 91764-5585
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Country | US
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Telephone | 909-944-0486
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Fax |
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Provider Business Mailing Address
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Address Line | 670 S MARCELLA AVE
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City | RIALTO
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State | CA
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Zip | 92376-7182
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | F10261088
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License Number State | CA
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