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General NPI Number Information
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NPI Number | 1326855040
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Entity Type | Organization
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Legal Business Name | SOMRA NURSING CORPORATION
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 1050 KENDALL DR STE F
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City | SAN BERNARDINO
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State | CA
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Zip | 92407-4125
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Country | US
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Telephone | 909-507-3947
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Fax | 909-829-0088
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Provider Business Mailing Address
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Address Line | PO BOX 4671
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729-4671
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Country | US
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Telephone | 909-507-3947
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Fax | 909-829-0088
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA CHIJIOKE
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Credential |
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Telephone | 888-684-2779
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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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