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General NPI Number Information
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NPI Number | 1467892521
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Entity Type | Organization
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Legal Business Name | NEMESIA UDARBE
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 1720 E CESAR E CHAVEZ AVE
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City | LOS ANGELES
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State | CA
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Zip | 90033-2414
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Country | US
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Telephone | 323-265-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 13213 CAROLYN ST
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City | CERRITOS
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State | CA
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Zip | 90703-8605
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Country | US
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Telephone | 562-522-1978
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Fax | 323-881-8701
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Authorized Official
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Title or Position | NEONATAL NURSE PRACTITIONER
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Name | MS. NEMESIA R UDARBE
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Credential | NURSE PRACTITIONER
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Telephone | 562-522-1978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 337103
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License Number State | CA
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