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General NPI Number Information
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NPI Number | 1386985547
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Entity Type | Individual
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Provider Name | LO WA YU FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 757 WESTWOOD PLZ STE 8501
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City | LOS ANGELES
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State | CA
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Zip | 90095-6504
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Country | US
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Telephone | 310-794-3109
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Fax |
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5631
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Country | US
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Telephone |
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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 | F338630
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95004498
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 643258
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License Number State | NY
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