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General NPI Number Information
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NPI Number | 1831029206
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Entity Type | Individual
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Provider Name | CLIBERN DIZON VILLAFLOR MSN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 05/19/2026
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Last Update Date | 05/19/2026
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Provider Practice Location Address
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Address Line | 18800 AMAR RD STE B16
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City | WALNUT
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State | CA
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Zip | 91789-7101
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Country | US
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Telephone | 626-332-0311
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Fax |
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Provider Business Mailing Address
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Address Line | 10808 FOOTHILL BLVD STE 160-419
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3889
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95039374
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License Number State | CA
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