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General NPI Number Information
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NPI Number | 1528292380
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Entity Type | Individual
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Provider Name | WEDNESDAY ANN BISCOCHO M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 12960 GUADALAJARA CIR
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City | CERRITOS
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State | CA
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Zip | 90703-6109
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Country | US
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Telephone | 562-410-7465
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Fax |
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Provider Business Mailing Address
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Address Line | 11778 SALVIA ST
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City | JURUPA VALLEY
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State | CA
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Zip | 91752-5046
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 119322
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License Number State | CA
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