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General NPI Number Information
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NPI Number | 1154082469
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Entity Type | Individual
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Provider Name | PATRICIA ALEXIS CENIZA SANTOS NP
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 4955 VAN NUYS BLVD STE 715
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1842
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Country | US
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Telephone | 818-825-8131
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Fax |
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Provider Business Mailing Address
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Address Line | 725 ORANGE GROVE AVE
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City | GLENDALE
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State | CA
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Zip | 91205-1735
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Country | US
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Telephone | 224-392-9645
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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 | 95019376
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License Number State | CA
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