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General NPI Number Information
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NPI Number | 1073479283
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Entity Type | Organization
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Legal Business Name | PRAEVA INC
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 329 N WETHERLY DR. STE 209
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City | BEVERLY HILLS
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State | CA
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Zip | 90211
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Country | US
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Telephone | 323-760-7277
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 FAIR OAKS AVE STE 516
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-3311
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | PHABILLIA BORJA
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Credential | MD
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Telephone | 347-585-4987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State |
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