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General NPI Number Information
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NPI Number | 1437892593
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Entity Type | Individual
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Provider Name | CINDY CHRISTINA FARAGUNA NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 04/17/2022
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 24002 VIA FABRICANTE STE 501
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City | MISSION VIEJO
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State | CA
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Zip | 92691-3934
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Country | US
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Telephone | 949-454-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 24101 SALERO LN
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City | MISSION VIEJO
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State | CA
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Zip | 92691-4131
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Country | US
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Telephone | 949-294-1844
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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 | 95019800
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License Number State | CA
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