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General NPI Number Information
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NPI Number | 1023950714
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Entity Type | Individual
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Provider Name | MIA BARBER LVN
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Gender | Female
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 1420 N STATE COLLEGE BLVD
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City | ANAHEIM
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State | CA
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Zip | 92806-1205
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Country | US
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Telephone | 714-464-4874
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Fax |
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Provider Business Mailing Address
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Address Line | 301 SONORA PL
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City | LA HABRA
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State | CA
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Zip | 90631-9125
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Country | US
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Telephone | 562-665-2765
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 757694
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License Number State | CA
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