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General NPI Number Information
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NPI Number | 1104792878
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Entity Type | Individual
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Provider Name | TASNEEM LEGOHN RD
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Gender | Female
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 08/01/2026
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Provider Practice Location Address
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Address Line | 18000 STUDEBAKER RD
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City | CERRITOS
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State | CA
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Zip | 90703-2679
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Country | US
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Telephone | 805-201-5859
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Fax |
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Provider Business Mailing Address
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Address Line | 10820 ALONDRA BLVD # 1063
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City | CERRITOS
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State | CA
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Zip | 90703-1502
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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 |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86059026
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License Number State | CA
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