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General NPI Number Information
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NPI Number | 1477358059
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Entity Type | Individual
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Provider Name | ATLEE MITCHELL NP
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Gender | Male
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 1615 GREENFIELD AVE APT 15
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City | LOS ANGELES
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State | CA
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Zip | 90025-3572
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Country | US
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Telephone | 859-468-6254
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 WILSON TER STE 150
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City | GLENDALE
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State | CA
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Zip | 91206-4076
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Country | US
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Telephone | 818-484-8059
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Fax | 818-484-8049
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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 | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 95160816
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95160816
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License Number State | CA
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