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General NPI Number Information
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NPI Number | 1184246746
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Entity Type | Individual
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Provider Name | SAMANTHA PARAGONA
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Gender | Female
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Dates
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Enumeration Date | 05/17/2020
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 8383 WILSHIRE BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2425
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Country | US
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Telephone | 310-855-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 213 PASEO DE SUENOS
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City | REDONDO BEACH
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State | CA
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Zip | 90277-6560
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN2317178
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95028606
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License Number State | CA
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