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General NPI Number Information
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NPI Number | 1477214807
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Entity Type | Individual
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Provider Name | CARMELA ZARAGOZA PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 12713 DILWORTH ST
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City | NORWALK
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State | CA
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Zip | 90650-4433
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Country | US
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Telephone | 310-801-2214
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Fax |
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Provider Business Mailing Address
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Address Line | 12713 DILWORTH ST
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City | NORWALK
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State | CA
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Zip | 90650-4433
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Country | US
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Telephone | 310-801-2214
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 753129
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95021672
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License Number State | CA
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