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General NPI Number Information
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NPI Number | 1215571575
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Entity Type | Individual
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Provider Name | JOSEL DIANE DAUZ-BROSNAN ND
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Gender | Female
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 16601 PACIFIC COAST HIGHWAY
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-1826
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Country | US
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Telephone | 562-794-9027
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Fax |
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Provider Business Mailing Address
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Address Line | 11230 HORNET PL
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City | LAKEWOOD
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State | CA
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Zip | 90715-1156
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Country | US
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Telephone | 562-481-5709
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND1112
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License Number State | CA
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