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General NPI Number Information
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NPI Number | 1669175154
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Entity Type | Individual
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Provider Name | CATHLYN DOVE CWIEK NP
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Gender | Female
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 9065 HAVEN AVE STE 110
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5429
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Country | US
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Telephone | 909-757-5770
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Fax | 909-757-8099
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Provider Business Mailing Address
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Address Line | 5452 E HOMECOMING CIR APT A
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City | EASTVALE
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State | CA
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Zip | 91752-3181
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Country | US
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Telephone | 909-242-8815
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Fax | 909-757-8099
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95024688
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License Number State | CA
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