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General NPI Number Information
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NPI Number | 1295049401
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Entity Type | Individual
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Provider Name | SCHOLASTICA N MKPAYAH N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 07/31/2010
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Provider Practice Location Address
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Address Line | 5850 S MAIN ST
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City | LOS ANGELES
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State | CA
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Zip | 90003-1215
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Country | US
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Telephone | 323-846-4105
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Fax |
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Provider Business Mailing Address
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Address Line | 15244 MONTEREY AVE
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City | CHINO HILLS
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State | CA
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Zip | 91709-2722
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Country | US
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Telephone | 909-286-7781
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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 | NP18928
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License Number State | CA
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