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General NPI Number Information
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NPI Number | 1215959648
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Entity Type | Individual
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Provider Name | LUISA MARIA PINEDA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 327 E PALMDALE BLVD SUITE #D
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City | PALMDALE
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State | CA
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Zip | 93550-7139
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Country | US
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Telephone | 661-273-5888
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Fax | 661-273-5100
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Provider Business Mailing Address
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Address Line | 327 E. PALMDALE BLVD. SUITE #D
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City | PALMDALE
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State | CA
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Zip | 93550-7139
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Country | US
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Telephone | 661-273-5888
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Fax | 661-273-5100
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A30624
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License Number State | CA
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