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General NPI Number Information
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NPI Number | 1821492836
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTHCARE FOR WOMEN AND CHILDREN A NURSING CORPORATION
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 600 N MOUNTAIN AVE STE A104
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City | UPLAND
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State | CA
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Zip | 91786-4359
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Country | US
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Telephone | 909-518-7966
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Fax |
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Provider Business Mailing Address
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Address Line | 869 E FOOTHILL BLVD STE G
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City | UPLAND
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State | CA
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Zip | 91786-4063
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Country | US
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Telephone | 909-518-7966
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MONICA PALMA
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Credential | NP
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Telephone | 909-518-7966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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