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General NPI Number Information
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NPI Number | 1942135900
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Entity Type | Individual
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Provider Name | VICTORIA MELISSA BIELMA
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Gender | Female
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 2901 WILSHIRE BLVD STE 105
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City | SANTA MONICA
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State | CA
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Zip | 90403-4901
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Country | US
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Telephone | 310-550-1006
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Fax |
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Provider Business Mailing Address
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Address Line | 4143 VIA MARINA APT 1116
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5312
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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 | 95037137
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License Number State | CA
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