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General NPI Number Information
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NPI Number | 1467633602
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Entity Type | Individual
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Provider Name | LYDA SAEEDY N.P.
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Gender | Female
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 954 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-3529
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Country | US
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Telephone | 323-666-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 S GLENDORA AVE
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City | GLENDORA
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State | CA
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Zip | 91740-5140
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Country | US
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Telephone | 626-914-4484
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP6312
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License Number State | CA
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