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General NPI Number Information
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NPI Number | 1013482173
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Entity Type | Organization
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Legal Business Name | RELIABLE ADVANCED CLINICIANS INC
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 645 AERICK ST STE 1
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City | INGLEWOOD
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State | CA
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Zip | 90301-4882
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Country | US
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Telephone | 424-378-9323
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Fax |
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Provider Business Mailing Address
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Address Line | 645 AERICK ST STE 1
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City | INGLEWOOD
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State | CA
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Zip | 90301-4882
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Country | US
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Telephone | 424-378-9323
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROGGIELYZ Y. PADILLA
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Credential | FNP-C
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Telephone | 562-303-3521
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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 |
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License Number State |
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