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General NPI Number Information
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NPI Number | 1114732872
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Entity Type | Individual
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Provider Name | MARIA ROWENA TAN CABATINGAN FNP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 11428 ARTESIA BLVD STE 5
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City | ARTESIA
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State | CA
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Zip | 90701-3870
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Country | US
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Telephone | 562-534-0001
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Fax | 562-306-5299
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Provider Business Mailing Address
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Address Line | 2121 E 1ST ST UNIT 110
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City | LONG BEACH
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State | CA
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Zip | 90803-2476
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Country | US
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Telephone | 701-500-7279
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95026912
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License Number State | CA
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