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General NPI Number Information
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NPI Number | 1043149248
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Entity Type | Individual
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Provider Name | FESTUS O NNADI
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Gender | Male
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST
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City | TORRANCE
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State | CA
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Zip | 90502-2059
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Country | US
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Telephone | 424-306-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 14210 S VERMONT AVE APT 113
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City | GARDENA
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State | CA
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Zip | 90247-2273
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Country | US
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Telephone | 323-805-9877
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95039368
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License Number State | CA
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