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General NPI Number Information
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NPI Number | 1134927148
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Entity Type | Individual
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Provider Name | VIRIDIANA ZAVALA
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 6161 SANTA MONICA BLVD STE 304
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City | LOS ANGELES
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State | CA
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Zip | 90038-4411
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Country | US
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Telephone | 213-262-6848
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Fax |
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Provider Business Mailing Address
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Address Line | 7063 FULTON AVE APT 4
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-4432
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Country | US
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Telephone | 818-927-7191
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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