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General NPI Number Information
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NPI Number | 1609437235
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Entity Type | Individual
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Provider Name | VICTORIA OMERI MSN, FNP-BC PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 9201 E MOUNTAIN VIEW RD STE 220
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5172
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Country | US
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Telephone | 480-862-1720
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Fax |
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Provider Business Mailing Address
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Address Line | 2653 34TH AVE
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City | OAKLAND
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State | CA
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Zip | 94601-2622
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Country | US
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Telephone | 202-375-4508
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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 | 95011667
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95106342
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License Number State | CA
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