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General NPI Number Information
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NPI Number | 1013961796
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Entity Type | Individual
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Provider Name | MARLENE F. FARRONAN P.A.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 9040 TELEGRAPH RD STE 100
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City | DOWNEY
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State | CA
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Zip | 90240-2395
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Country | US
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Telephone | 562-861-0954
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Fax | 562-923-0966
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Provider Business Mailing Address
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Address Line | DEPT LA 23039
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City | PASADENA
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State | CA
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Zip | 91185-3039
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Country | US
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Telephone | 562-282-4038
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Fax | 562-658-3397
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA11792
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License Number State | CA
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