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General NPI Number Information
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NPI Number | 1982746749
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Entity Type | Individual
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Provider Name | ALFREDO BIMBELA PHD, FNP, PMHNP
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 06/13/2021
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Provider Practice Location Address
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Address Line | 1911 WILLIAMS DR STE 210
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City | OXNARD
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State | CA
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Zip | 93036-2612
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Country | US
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Telephone | 310-592-7457
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 PALMA DR FL 2
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City | VENTURA
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State | CA
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Zip | 93003-6451
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Country | US
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Telephone | 805-284-1783
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Fax | 888-958-5269
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY19802
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 606401
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15951
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 15951
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License Number State | CA
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