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General NPI Number Information
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NPI Number | 1396995833
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Entity Type | Individual
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Provider Name | EMILIYA SHAPIRO GANEZER NP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2008
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Last Update Date | 08/12/2017
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Provider Practice Location Address
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Address Line | 24013 VENTURA BLVD 101
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City | CALABASAS
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State | CA
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Zip | 91302-1094
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Country | US
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Telephone | 818-222-2443
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Fax |
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Provider Business Mailing Address
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Address Line | 9400 BRIGHTON WAY STE 410
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4711
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Country | US
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Telephone | 323-588-2004
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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 | 505125, 17591
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License Number State | CA
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