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General NPI Number Information
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NPI Number | 1528605961
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Entity Type | Individual
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Provider Name | ELSA L PINEDA-FLORES AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 1513 S GRAND AVE STE 306
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City | LOS ANGELES
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State | CA
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Zip | 90015-3075
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Country | US
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Telephone | 213-246-2422
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Fax | 213-246-2019
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Provider Business Mailing Address
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Address Line | 18000 STUDEBAKER RD STE 800
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City | CERRITOS
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State | CA
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Zip | 90703-2671
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Country | US
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Telephone | 562-735-3226
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Fax | 562-869-1281
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 95012877
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License Number State | CA
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