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General NPI Number Information
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NPI Number | 1396441499
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Entity Type | Individual
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Provider Name | RHEA CERVANTES JAYME
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Gender | Female
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 12021 WILMINGTON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90059-3019
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Country | US
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Telephone | 424-758-9601
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Fax |
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Provider Business Mailing Address
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Address Line | 10117 GUNN AVE APT C3
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City | WHITTIER
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State | CA
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Zip | 90605-3014
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Country | US
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Telephone | 323-519-8170
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 95258003
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License Number State | CA
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