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General NPI Number Information
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NPI Number | 1457002685
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Entity Type | Individual
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Provider Name | EUNICE CARIDAD HERRERA NP
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Gender | Female
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST # 446
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City | TORRANCE
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State | CA
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Zip | 90502-2059
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Country | US
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Telephone | 310-222-8175
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Fax | 310-212-0334
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Provider Business Mailing Address
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Address Line | 1000 W CARSON ST # 446
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City | TORRANCE
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State | CA
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Zip | 90502-2059
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Country | US
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Telephone | 310-222-8175
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Fax | 310-212-0334
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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 | 95018569
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 95018569
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95018569
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License Number State | CA
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