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General NPI Number Information
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NPI Number | 1306855010
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Entity Type | Individual
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Provider Name | LINDA MARIE BOJORQUEZ RN,MSN,ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 25825 VERMONT AVE
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City | HARBOR CITY
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State | CA
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Zip | 90710-3518
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Country | US
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Telephone | 310-517-2125
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Fax | 310-517-4292
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Provider Business Mailing Address
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Address Line | 3540 WALNUT AVE
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City | LONG BEACH
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State | CA
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Zip | 90807-4844
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Country | US
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Telephone | 562-726-1980
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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 | 526089
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License Number State | CA
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