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General NPI Number Information
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NPI Number | 1477314888
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Entity Type | Individual
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Provider Name | PERLA ELENA HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 14112 S KINGSLEY DR
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City | GARDENA
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State | CA
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Zip | 90249-3018
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Country | US
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Telephone | 310-660-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 11814 ORCHARD AVE
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City | LOS ANGELES
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State | CA
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Zip | 90044-4026
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Country | US
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Telephone | 323-864-9030
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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