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General NPI Number Information
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NPI Number | 1548331069
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Entity Type | Individual
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Provider Name | PATRICIA VALBUENA DAHLBERG RN, PNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1300 W 7TH ST
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City | SAN PEDRO
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State | CA
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Zip | 90732-3505
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Country | US
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Telephone | 310-514-5465
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Fax | 310-514-5478
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Provider Business Mailing Address
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Address Line | 2265 ESTRIBO DR
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-5111
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Country | US
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Telephone | 310-548-0205
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN#221764
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License Number State | CA
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