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General NPI Number Information
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NPI Number | 1225479728
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Entity Type | Individual
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Provider Name | MISTY MICHELLE CEJA CNM, ARNP, WHNP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 5601 DE SOTO AVE
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6798
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 2692 RUDOLPH DR
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City | SIMI VALLEY
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State | CA
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Zip | 93065-5060
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Country | US
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Telephone | 805-298-9660
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 707832
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 707832
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License Number State | CA
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