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General NPI Number Information
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NPI Number | 1326658642
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Entity Type | Individual
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Provider Name | SHAZA HANAFY HUMMEL NP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2020
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 11945 MAGNOLIA UNIT 102
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607
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Country | US
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Telephone | 818-303-1753
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Fax | 818-518-9017
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD # 396329
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone | 818-303-1753
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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 | 864715
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0996547-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95009218
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License Number State | CA
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