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General NPI Number Information
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NPI Number | 1508330978
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Entity Type | Individual
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Provider Name | LINDSAY DAWN GUTIERREZ FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/18/2019
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 609 N PACIFIC COAST HWY STE 130
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City | REDONDO BEACH
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State | CA
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Zip | 90277-2107
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Country | US
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Telephone | 424-265-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 16149 MARICOPA LN
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City | APPLE VALLEY
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State | CA
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Zip | 92307-7802
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95019212
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95019212
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 674187
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License Number State | CA
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