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General NPI Number Information
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NPI Number | 1124500665
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Entity Type | Individual
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Provider Name | LUIS VALENTINE ASCENCIO JR. RRT RCP
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Gender | Male
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 08/31/2018
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Provider Practice Location Address
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Address Line | SOUTHERN CALIF. KAISER PERMANENTE HOSPITAL 8110 WOODMAN AVE BUILDING 5
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City | PANORAMA CITY
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State | CA
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Zip | 91402
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Country | US
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Telephone | 818-375-2000
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Fax |
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Provider Business Mailing Address
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Address Line | SOUTHERN CALIF. KAISER PERMANENTE HOSPITAL 8110 WOODMAN AVE BUILDING 5
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City | PANORAMA CITY
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State | CA
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Zip | 91402
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Country | US
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Telephone | 818-375-2000
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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 | 2278P1006X
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Taxonomy Name | Pulmonary Function Technologist Certified Respiratory Therapist
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License Number | 16049
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License Number State | CA
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