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General NPI Number Information
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NPI Number | 1033812284
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Entity Type | Individual
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Provider Name | NAZELI NATALIE SHISHOYAN NP
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 726 N MEDICAL CENTER DR E STE 223
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City | CLOVIS
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State | CA
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Zip | 93611-6886
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Country | US
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Telephone | 559-472-4255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 889442
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City | LOS ANGELES
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State | CA
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Zip | 90088-9442
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Country | US
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Telephone |
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 95026993
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95026993
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License Number State | CA
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