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General NPI Number Information
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NPI Number | 1235612193
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Entity Type | Individual
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Provider Name | LINDA NYAGAYA DNP, FNP/AG-BC
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Gender | Female
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 200 OCEANGATE, SUITE 100 LONG BEACH, CA 90802
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City | LONG BEACH
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State | CA
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Zip | 90802
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Country | US
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Telephone | 800-526-8196
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Fax |
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Provider Business Mailing Address
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Address Line | 200 OCEANGATE, SUITE 100 LONG BEACH, CA 90802
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City | LONG BEACH
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State | CA
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Zip | 90802
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95009642
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License Number State | CA
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