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General NPI Number Information
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NPI Number | 1437715695
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Entity Type | Individual
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Provider Name | ALEKSANDRA VARTAPETOVA NP
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Gender | Female
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 9663 SANTA MONICA BLVD STE 883
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4303
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Country | US
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Telephone | 818-339-6646
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Fax | 818-769-9965
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Provider Business Mailing Address
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Address Line | 4403 CONCHITA WAY
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City | TARZANA
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State | CA
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Zip | 91356-4901
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Country | US
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Telephone | 818-339-6646
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Fax | 818-769-9965
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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 | 95011248
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License Number State | CA
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