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General NPI Number Information
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NPI Number | 1184941098
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Entity Type | Individual
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Provider Name | GIANNA ANGELA CHRISHUANA WARREN PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/02/2010
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Last Update Date | 06/24/2016
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Provider Practice Location Address
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Address Line | 905 S PRAIRIE AVE STE A
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City | INGLEWOOD
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State | CA
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Zip | 90301-4140
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Country | US
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Telephone | 310-946-2533
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Fax |
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Provider Business Mailing Address
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Address Line | 4859 W SLAUSON AVE STE 368
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City | LOS ANGELES
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State | CA
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Zip | 90056-3213
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Country | US
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Telephone | 323-823-1983
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA20940
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License Number State | CA
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