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General NPI Number Information
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NPI Number | 1487971404
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Entity Type | Individual
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Provider Name | KAREN SUMMER PABALAN NP-C
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Gender | Female
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 1377 S GRAND AVE
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City | GLENDORA
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State | CA
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Zip | 91740-5047
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Country | US
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Telephone | 626-857-2501
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Fax |
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Provider Business Mailing Address
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Address Line | 15070 HAYWARD ST
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City | WHITTIER
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State | CA
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Zip | 90603-2017
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Country | US
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Telephone | 626-384-8818
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 18726
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License Number State | CA
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