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General NPI Number Information
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NPI Number | 1891388286
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Entity Type | Organization
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Legal Business Name | CALIFORNIA NURSING CONSULTANTS
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 812 POPPYSEED LN
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City | CORONA
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State | CA
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Zip | 92881-3527
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Country | US
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Telephone | 562-290-3190
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Fax | 951-602-7812
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Provider Business Mailing Address
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Address Line | 812 POPPYSEED LN
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City | CORONA
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State | CA
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Zip | 92881-3527
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Country | US
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Telephone | 562-290-3190
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Fax | 951-602-7812
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. HOLY DOVE QUIBOLOY PAULE
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Credential | NP
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Telephone | 562-290-3190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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