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General NPI Number Information
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NPI Number | 1114536679
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Entity Type | Individual
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Provider Name | TARA ABRAMS NP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 8405 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90048-3401
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Country | US
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Telephone | 562-335-7332
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Fax |
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Provider Business Mailing Address
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Address Line | 8405 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90048-3401
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Country | US
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Telephone | 562-335-7332
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | NP95013996
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License Number State | CA
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