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General NPI Number Information
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NPI Number | 1326824228
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Entity Type | Organization
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Legal Business Name | A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 4441 OWENS ST UNIT 105
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City | CORONA
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State | CA
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Zip | 92883-7393
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Country | US
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Telephone | 562-682-8577
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Fax |
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Provider Business Mailing Address
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Address Line | 11762 DE PALMA RD STE 1C
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City | CORONA
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State | CA
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Zip | 92883-4010
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Country | US
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Telephone | 562-682-8577
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Fax |
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Authorized Official
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Title or Position | NP/OWNER
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Name | REGINA M BUTLER
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Credential | FNP-BC
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Telephone | 562-682-8577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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