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General NPI Number Information
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NPI Number | 1811793623
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Entity Type | Individual
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Provider Name | CARRIE ALLISON COBOS
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Gender | Female
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 11234 ANDERSON ST
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City | LOMA LINDA
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State | CA
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Zip | 92350-1716
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Country | US
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Telephone | 909-558-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 7117 SILVERWOOD DR
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City | EASTVALE
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State | CA
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Zip | 92880-7234
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Country | US
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Telephone | 909-285-5226
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 487418
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95035183
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License Number State | CA
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