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General NPI Number Information
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NPI Number | 1467181826
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Entity Type | Individual
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Provider Name | CELERINA NOREIK FNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 4774 RIVERSIDE DR STE F
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City | CHINO
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State | CA
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Zip | 91710-3339
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Country | US
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Telephone | 800-503-2970
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Fax | 909-696-6418
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Provider Business Mailing Address
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Address Line | 12193 SAN MARCOS ST
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City | VICTORVILLE
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State | CA
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Zip | 92392-6627
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Country | US
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Telephone | 760-780-8527
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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 | 95021049
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License Number State | CA
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