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General NPI Number Information
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NPI Number | 1467404525
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Entity Type | Individual
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Provider Name | STEPHANIE SMOOKE PRAW MD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 200 UCLA MEDICAL PLZ STE 530
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City | LOS ANGELES
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State | CA
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Zip | 90095-0001
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Country | US
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Telephone | 310-825-7922
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Fax | 310-267-1899
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5631
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Country | US
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Telephone | 310-301-5200
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A90748
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A90748
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License Number State | CA
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