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General NPI Number Information
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NPI Number | 1437973682
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Entity Type | Individual
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Provider Name | MARIELA PAZ BS, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 15031 RINALDI ST
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City | MISSION HILLS
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State | CA
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Zip | 91345-1207
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Country | US
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Telephone | 818-496-3353
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Fax |
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Provider Business Mailing Address
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Address Line | 6352 BEEMAN AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3123
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Country | US
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Telephone | 818-415-8126
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 152087
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License Number State | CA
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