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General NPI Number Information
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NPI Number | 1437060027
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Entity Type | Individual
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Provider Name | LUIS FITCH
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Gender | Male
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 2364 GALE AVE
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City | LONG BEACH
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State | CA
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Zip | 90810-3345
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Country | US
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Telephone | 424-303-9141
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Fax |
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Provider Business Mailing Address
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Address Line | 12021 WILMINGTON AVE BLDG 185TH
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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 |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 782449
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License Number State | CA
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