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General NPI Number Information
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NPI Number | 1447506753
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Entity Type | Individual
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Provider Name | GUADALUPE PRECIADO
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Gender | Female
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 3591 E IMPERIAL HWY
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City | LYNWOOD
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State | CA
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Zip | 90262-2654
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Country | US
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Telephone | 310-638-9025
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Fax | 310-638-9080
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Provider Business Mailing Address
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Address Line | 1910 W SUNSET BLVD 650
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City | LOS ANGELES
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State | CA
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Zip | 90026-3275
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Country | US
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Telephone | 213-484-1186
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Fax | 213-484-6165
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN161104
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License Number State | CA
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