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General NPI Number Information
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NPI Number | 1477406296
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Entity Type | Individual
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Provider Name | ROBERTO ADOLFO CEPEDA-RIVADENEIRA RN
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Gender | Male
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 3516 MARTIN LUTHER KING JR. BLVD. STE. 4
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City | LYNWOOD
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State | CA
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Zip | 90262-2066
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Country | US
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Telephone | 562-614-4046
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Fax |
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Provider Business Mailing Address
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Address Line | 11939 161ST ST
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City | NORWALK
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State | CA
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Zip | 90650-7160
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Country | US
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Telephone | 310-738-4782
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN95211870
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License Number State | CA
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