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General NPI Number Information
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NPI Number | 1043952005
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Entity Type | Individual
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Provider Name | ELIZABETH HIDEMI KUGE PARKER DO
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Gender | Female
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1306 MARICOPA HWY
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City | OJAI
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State | CA
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Zip | 93023-3131
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Country | US
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Telephone | 805-646-1401
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Fax |
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Provider Business Mailing Address
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Address Line | 389 BRISTER PARK CT
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City | CAMARILLO
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State | CA
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Zip | 93012-7710
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Country | US
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Telephone | 805-795-0096
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 20A23588
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | V4698
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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