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General NPI Number Information
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NPI Number | 1548003379
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Entity Type | Individual
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Provider Name | ADNAN ALMOUAZZEN NP
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Gender | Male
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 250 E RINCON ST STE 106
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City | CORONA
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State | CA
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Zip | 92879-1363
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Country | US
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Telephone | 951-339-8459
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Fax |
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Provider Business Mailing Address
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Address Line | 2215 LOBELIA AVE
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City | UPLAND
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State | CA
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Zip | 91784-7386
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Country | US
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Telephone | 909-912-2630
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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 | 95027419
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License Number State | CA
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