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General NPI Number Information
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NPI Number | 1043364896
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Entity Type | Individual
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Provider Name | KENDRA REA PURDOM RAMIREZ NP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 11807 WHITTIER BLVD
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City | WHITTIER
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State | CA
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Zip | 90601-3941
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Country | US
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Telephone | 562-463-7742
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Fax | 562-463-0746
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Provider Business Mailing Address
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Address Line | 5081 JADE TER
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City | CHINO HILLS
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State | CA
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Zip | 91709-4908
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Country | US
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Telephone | 562-310-9596
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 15708
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 598693
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License Number State | CA
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