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General NPI Number Information
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NPI Number | 1295948065
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Entity Type | Individual
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Provider Name | LORRAINE-NAOMI KITAJIMA NP, MS
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12345 EL MONTE RD
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-4599
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Country | US
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Telephone | 650-949-7243
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Fax | 650-949-7160
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Provider Business Mailing Address
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Address Line | 1384 CEDAR STREET
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City | SAN CARLOS
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State | CA
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Zip | 94070
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Country | US
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Telephone | 650-595-8987
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 235860
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License Number State | CA
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