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General NPI Number Information
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NPI Number | 1407498702
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Entity Type | Individual
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Provider Name | CHRISTA HELENE CZER CARDENAS
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Gender | Female
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 1320 N EASTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90063-3244
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Country | US
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Telephone | 323-881-2411
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Fax |
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Provider Business Mailing Address
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Address Line | 4029 YANKEE DR
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City | AGOURA HILLS
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State | CA
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Zip | 91301-3528
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95012833
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License Number State | CA
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