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General NPI Number Information
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NPI Number | 1952761652
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Entity Type | Individual
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Provider Name | VALERIE REYES FNP-BC, NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 8221 ROCHESTER AVE
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0720
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Country | US
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Telephone | 909-484-9051
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Fax |
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Provider Business Mailing Address
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Address Line | 16025 GARRETT CT
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City | LA PUENTE
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State | CA
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Zip | 91744-1353
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Country | US
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Telephone | 626-217-7344
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95003534
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License Number State | CA
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