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General NPI Number Information
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NPI Number | 1023737343
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Entity Type | Individual
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Provider Name | LORENA MARIA FERRER
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Gender | Female
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 2549 S SEPULVEDA BLVD APT 2
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City | LOS ANGELES
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State | CA
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Zip | 90064-3169
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Country | US
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Telephone | 818-793-4977
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Fax |
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Provider Business Mailing Address
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Address Line | 2549 S SEPULVEDA BLVD APT 2
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City | LOS ANGELES
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State | CA
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Zip | 90064-3169
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Country | US
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Telephone | 818-793-4977
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 776531
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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 | 776531
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License Number State | CA
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