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General NPI Number Information
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NPI Number | 1295250389
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Entity Type | Individual
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Provider Name | NEDA SARA WAREJ NP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2017
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 11710 BARRINGTON CT
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City | LOS ANGELES
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State | CA
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Zip | 90049-2930
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Country | US
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Telephone | 424-363-9980
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Fax |
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Provider Business Mailing Address
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Address Line | 12 ELK GROVE LN
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1012
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Country | US
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Telephone | 949-354-1094
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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 | 95006705
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License Number State | CA
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