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General NPI Number Information
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NPI Number | 1497612972
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Entity Type | Individual
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Provider Name | ELIZABETH OGAWA
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Gender |
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 300 W HUNTINGTON DR
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City | ARCADIA
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State | CA
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Zip | 91007-3402
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Country | US
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Telephone | 626-898-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 HUNTINGTON DR # 875
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City | SAN MARINO
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State | CA
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Zip | 91108-2640
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Country | US
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Telephone |
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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 | 95349770
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License Number State | CA
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