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General NPI Number Information
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NPI Number | 1174786875
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Entity Type | Individual
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Provider Name | LEA LYNETTE PASCUAL AGNP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 5420 N FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90042-4118
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Country | US
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Telephone | 323-256-3884
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Fax | 626-755-9141
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Provider Business Mailing Address
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Address Line | 1465 W 157TH ST APT D
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City | GARDENA
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State | CA
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Zip | 90247-3858
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Country | US
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Telephone | 310-329-3369
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Fax | 310-329-3369
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 17819
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License Number State | CA
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