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General NPI Number Information
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NPI Number | 1932617156
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Entity Type | Individual
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Provider Name | CONNIE A. ROBLEDO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 8510 BALBOA BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-3583
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Country | US
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Telephone | 818-455-9914
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 925
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City | NORCO
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State | CA
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Zip | 92860-0925
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Country | US
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Telephone | 951-729-9016
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Fax | 562-499-6171
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11020005
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95008362
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License Number State | CA
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