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General NPI Number Information
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NPI Number | 1174944623
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Entity Type | Individual
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Provider Name | SULMA JESSICA HERRERA MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 12/31/2013
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 313 N FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90012-2602
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Country | US
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Telephone | 213-240-8108
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Fax |
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Provider Business Mailing Address
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Address Line | 3750 LAKEVIEW DR
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City | FULLERTON
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State | CA
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Zip | 92835-1519
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A148951
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License Number State | CA
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