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General NPI Number Information
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NPI Number | 1063936706
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Entity Type | Individual
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Provider Name | CARA MONROE
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Gender | Female
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | MARTIN LUTHER KING JR. COMMUNITY HOSPITAL 1680 E 120TH STREET
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City | LOS ANGELES
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State | CA
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Zip | 90059
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Country | US
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Telephone | 205-253-4216
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Fax |
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Provider Business Mailing Address
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Address Line | 936 S OLIVE ST APT 309
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City | LOS ANGELES
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State | CA
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Zip | 90015-3490
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Country | US
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Telephone | 205-253-4216
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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 | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | A175211
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | A175211
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | A175211
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License Number State | CA
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