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General NPI Number Information
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NPI Number | 1407702210
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Entity Type | Individual
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Provider Name | KIMBERLY O'NEILL
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Gender |
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 255 W STANLEY AVE STE 100
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City | VENTURA
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State | CA
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Zip | 93001-1331
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Country | US
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Telephone | 805-641-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 10972 TELEGRAPH RD APT 201
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City | VENTURA
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State | CA
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Zip | 93004-1208
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 95327775
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License Number State | CA
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