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General NPI Number Information
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NPI Number | 1588341978
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Entity Type | Individual
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Provider Name | YVONNE OWUOR PMHNP-BC, RN
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Gender | Female
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 5959 RED GOLD ST
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City | EASTVALE
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State | CA
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Zip | 92880-3125
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Country | US
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Telephone | 909-287-4286
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Fax |
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Provider Business Mailing Address
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Address Line | 5959 RED GOLD ST
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City | EASTVALE
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State | CA
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Zip | 92880-3125
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Country | US
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Telephone | 909-287-4286
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 95022150
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95022150
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 95022150
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95030552
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 95022150
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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 | 95030552
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95022150
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 95022150
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License Number State | CA
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