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General NPI Number Information
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NPI Number | 1770221988
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Entity Type | Individual
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Provider Name | DARLENE TYDINGCO WHNP
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Gender | Female
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 18200 YORBA LINDA BLVD STE 102
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City | YORBA LINDA
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State | CA
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Zip | 92886-4006
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Country | US
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Telephone | 714-577-6031
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Fax |
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Provider Business Mailing Address
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Address Line | 40373 JACOB WAY
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City | MURRIETA
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State | CA
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Zip | 92563-4917
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Country | US
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Telephone | 951-541-4650
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 706012
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 706012
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License Number State | CA
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