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General NPI Number Information
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NPI Number | 1518271287
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Entity Type | Individual
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Provider Name | FABIOLA VALCIN-LEWIS APRN-CNS, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2515 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006-4003
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Country | US
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Telephone | 213-284-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006-4003
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 694140
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 3750
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 694140
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | 694140
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 694140
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95030248
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 364SP1700X
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Taxonomy Name | Perinatal Clinical Nurse Specialist
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License Number | 3750
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License Number State | CA
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