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General NPI Number Information
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NPI Number | 1831904044
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Entity Type | Individual
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Provider Name | ANGELICA PERALES RN
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 494 BLOSSOM WAY
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City | CHERRYLAND
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State | CA
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Zip | 94541-1948
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Country | US
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Telephone | 510-582-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 2175 DECOTO RD APT 43
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City | UNION CITY
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State | CA
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Zip | 94587-4474
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Country | US
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Telephone | 510-876-1246
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95082748
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License Number State | CA
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