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General NPI Number Information
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NPI Number | 1689649360
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Entity Type | Organization
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Legal Business Name | CEDAR VIEW HEALTH SERVICES
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 23 LEMON DR STE A
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City | CAMARILLO
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State | CA
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Zip | 93010
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Country | US
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Telephone | 805-445-0036
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Fax | 805-384-9226
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Provider Business Mailing Address
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Address Line | 23 LEMON DR #A
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City | CAMARILLO
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State | CA
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Zip | 93010
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Country | US
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Telephone | 805-445-0036
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Fax | 805-384-9226
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Authorized Official
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Title or Position | DIETITIAN CO OWNER PARTNER
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Name | MRS. MICHELLE D STREET
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Credential | MS RD
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Telephone | 805-445-0036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 893649
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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