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General NPI Number Information
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NPI Number | 1689250987
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Entity Type | Individual
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Provider Name | VICTORIA YVONNE LOPEZ FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 784 E MANNING AVE
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City | REEDLEY
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State | CA
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Zip | 93654-2232
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Country | US
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Telephone | 559-638-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 115 W HUNTSMAN AVE
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City | REEDLEY
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State | CA
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Zip | 93654-3964
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Country | US
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Telephone | 559-859-9002
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2021013273
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95017159
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95017159
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 2021013273
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License Number State | CA
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