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General NPI Number Information
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NPI Number | 1053467274
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Entity Type | Individual
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Provider Name | BELLAFLOR VILLANUEVA TROMPETA M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 18433 ROSCOE BLVD STE 104
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4127
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Country | US
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Telephone | 818-993-9555
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Fax | 818-993-9558
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Provider Business Mailing Address
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Address Line | 18433 ROSCOE BLVD STE 104
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4127
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Country | US
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Telephone | 818-993-9555
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Fax | 818-993-9558
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A26147
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A26147
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License Number State | CA
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