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General NPI Number Information
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NPI Number | 1639188873
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Entity Type | Individual
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Provider Name | BONNI TROMELLO CFNP
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 10/15/2013
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Provider Practice Location Address
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Address Line | 558 N VENTU PARK RD SUITE B
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City | NEWBURY PARK
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State | CA
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Zip | 91320-2718
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Country | US
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Telephone | 805-480-0499
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Fax | 805-480-0866
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Provider Business Mailing Address
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Address Line | 558 N VENTU PARK RD SUITE B
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City | NEWBURY PARK
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State | CA
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Zip | 91320-2718
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Country | US
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Telephone | 805-480-0499
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Fax | 805-480-0866
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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 | NPF7530
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | NPF7530
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License Number State | CA
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