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General NPI Number Information
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NPI Number | 1356519474
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Entity Type | Individual
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Provider Name | ARIEL GAN LOO NP
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Gender | Male
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 201 S BUENA VISTA ST SUITE 410
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City | BURBANK
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State | CA
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Zip | 91505-4569
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Country | US
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Telephone | 818-562-6400
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Fax | 818-562-6405
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Provider Business Mailing Address
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Address Line | 201 S BUENA VISTA ST SUITE 410
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City | BURBANK
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State | CA
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Zip | 91505-4569
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Country | US
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Telephone | 818-562-6400
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Fax | 818-562-6405
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | NP17641
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 17641
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License Number State | CA
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