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General NPI Number Information
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NPI Number | 1366777989
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Entity Type | Individual
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Provider Name | VIOLETA B. OBRA PNP
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Gender | Female
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Dates
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Enumeration Date | 10/15/2009
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Last Update Date | 10/15/2009
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Provider Practice Location Address
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Address Line | 26520 CACTUS AVE RIVERSIDE COUNTY REGIONAL MEDICAL CENTER PICU
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City | MORENO VALLEY
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State | CA
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Zip | 92555
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Country | US
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Telephone | 951-486-5455
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Fax | 951-486-5680
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TERRACE
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City | SUNRISE
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State | FL
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Zip | 33323
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Country | US
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Telephone | 954-325-5263
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Fax | 954-838-9951
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 8496
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License Number State | CA
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