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General NPI Number Information
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NPI Number | 1255470324
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Entity Type | Individual
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Provider Name | SHAULA HIJAZI N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 10/01/2017
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Provider Practice Location Address
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Address Line | 1805 E CABRILLO BLVD
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City | SANTA BARBARA
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State | CA
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Zip | 93108-2884
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Country | US
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Telephone | 805-563-5003
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Fax | 805-563-3212
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Provider Business Mailing Address
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Address Line | PO BOX 459
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City | GOLETA
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State | CA
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Zip | 93116-0459
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Country | US
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Telephone | 805-563-5003
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Fax | 805-563-3212
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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 | NPF2235 & RN288274
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License Number State | CA
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