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General NPI Number Information
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NPI Number | 1639183098
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Entity Type | Individual
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Provider Name | STELLA C NWANGUMA LVN
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 18015 BENEDA LN APT 208
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City | CANYON COUNTRY
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State | CA
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Zip | 91351-5420
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Country | US
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Telephone | 661-755-1344
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Fax |
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Provider Business Mailing Address
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Address Line | 5225 TELEGRAPH RD
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City | VENTURA
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State | CA
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Zip | 93003-4113
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Country | US
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Telephone | 805-765-6495
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Fax | 805-765-6490
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | HMDRL103707
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN183717
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License Number State | CA
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