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General NPI Number Information
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NPI Number | 1013042498
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Entity Type | Individual
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Provider Name | HELEN LANDAYAN LO NP
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 7140 INDIANA AVENUE
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 951-358-6037
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Fax |
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Provider Business Mailing Address
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Address Line | 30007 CABO DEL OESTE
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City | HIGHLAND
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State | CA
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Zip | 92346-5952
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Country | US
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Telephone | 909-894-4006
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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 | 13231
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License Number State | CA
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