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General NPI Number Information
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NPI Number | 1437025004
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Entity Type | Organization
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Legal Business Name | GOLDENCREST PRIMARY CARE
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 225 W HOSPITALITY LN STE 207
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3245
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Country | US
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Telephone | 909-751-4408
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Fax | 909-751-4407
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Provider Business Mailing Address
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Address Line | 225 W HOSPITALITY LN STE 207
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3245
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Country | US
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Telephone | 909-751-4408
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Fax | 909-751-4407
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | JENELYN ALMONTE
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Credential |
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Telephone | 909-751-4408
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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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