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General NPI Number Information
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NPI Number | 1174561898
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Entity Type | Individual
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Provider Name | SANDRA OLIVIA TUERO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 125 W THOUSAND OAKS BLVD STE 200
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4459
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Country | US
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Telephone | 805-418-9105
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Fax |
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Provider Business Mailing Address
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Address Line | 4835 VAN NUYS BLVD SUITE 100
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2129
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Country | US
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Telephone | 818-784-2060
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Fax | 818-784-0228
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G69023
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License Number State | CA
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