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General NPI Number Information
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NPI Number | 1982429130
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Entity Type | Individual
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Provider Name | VERALYN JOYCE DE GUZMAN FNP-BC, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 421 N BROOKHURST ST STE 228C
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City | ANAHEIM
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State | CA
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Zip | 92801-5619
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Country | US
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Telephone | 714-442-3947
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Fax | 714-442-3921
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Provider Business Mailing Address
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Address Line | 12995 NINEBARK ST
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City | MORENO VALLEY
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State | CA
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Zip | 92553-1211
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Country | US
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Telephone | 951-867-1542
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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 | 95030030
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License Number State | CA
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