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General NPI Number Information
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NPI Number | 1114470176
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Entity Type | Individual
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Provider Name | MARTHA MUNOZ-GUERRERO
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Gender | Female
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 3400 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90023-1708
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Country | US
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Telephone | 323-268-3384
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Fax |
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Provider Business Mailing Address
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Address Line | 19886 E ROUND HILL LN
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City | WALNUT
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State | CA
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Zip | 91789-4381
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Country | US
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Telephone | 909-996-1521
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 37166
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License Number State | CA
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