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General NPI Number Information
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NPI Number | 1891581336
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Entity Type | Individual
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Provider Name | GUERLINE CLEDOR NP
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Gender | Female
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1902 WRIGHT PL FL CENTER2
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City | CARLSBAD
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State | CA
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Zip | 92008-6583
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Country | US
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Telephone | 929-468-2465
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Fax |
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Provider Business Mailing Address
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Address Line | 1389 JEFFERSON ST UNIT A407
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City | OAKLAND
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State | CA
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Zip | 94612-1667
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Country | US
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Telephone | 954-682-1281
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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 | NP95032678
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License Number State | CA
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