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General NPI Number Information
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NPI Number | 1639076334
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Entity Type | Individual
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Provider Name | MARIA MAGDY HENIN FNP-C, DNP, RN
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Gender | Female
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Dates
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Enumeration Date | 10/26/2026
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Last Update Date | 10/26/2026
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Provider Practice Location Address
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Address Line | 1851 N RIVERSIDE AVE
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City | RIALTO
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State | CA
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Zip | 92376-8069
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Country | US
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Telephone | 909-874-2371
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Fax |
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Provider Business Mailing Address
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Address Line | 8255 VINEYARD AVE APT 100J
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3376
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Country | US
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Telephone | 909-272-1143
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | NP95040006
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License Number State | CA
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