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General NPI Number Information
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NPI Number | 1275899247
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Entity Type | Individual
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Provider Name | OLAIDE AKIB BASSEY NP
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Gender | Female
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 12900 PARK PLAZA DR
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City | CERRITOS
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State | CA
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Zip | 90703-9329
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Country | US
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Telephone | 562-547-8621
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Fax |
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Provider Business Mailing Address
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Address Line | 2830 W 235TH ST #4
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City | TORRANCE
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State | CA
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Zip | 90505-4162
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Country | US
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Telephone | 310-701-5577
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21653
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License Number State | CA
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