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General NPI Number Information
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NPI Number | 1790493245
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Entity Type | Individual
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Provider Name | JOANA ALMA AGNP-C, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 10970 ARROW ROUTE #209
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730
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Country | US
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Telephone | 310-767-6332
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 667
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City | MANHATTAN BEACH
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State | CA
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Zip | 90267-0667
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Country | US
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Telephone |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | NP95021261
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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 | NP95021261
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License Number State | CA
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