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General NPI Number Information
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NPI Number | 1417749904
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Entity Type | Individual
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Provider Name | JANICE DAYANNE CASTRO TALAVERA FNP
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1971 UNIVERSITY AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507-5263
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Country | US
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Telephone | 833-867-4642
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Fax | 360-462-5826
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Provider Business Mailing Address
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Address Line | 31864 RAILROAD CANYON RD UNIT K
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City | CANYON LAKE
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State | CA
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Zip | 92587-9498
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Country | US
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Telephone | 707-303-6012
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95033631
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License Number State | CA
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