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General NPI Number Information
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NPI Number | 1457141533
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Entity Type | Individual
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Provider Name | CELESTE JIJON
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1680 E 120TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90059-3026
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Country | US
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Telephone | 424-338-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 JOHN MUIR PKWY
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City | HERCULES
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State | CA
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Zip | 94547-2803
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 95269404
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License Number State | CA
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