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General NPI Number Information
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NPI Number | 1528822525
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Entity Type | Individual
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Provider Name | MARY KHRISTEEN J ISIDRO NP
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Gender | Female
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Dates
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Enumeration Date | 02/09/2024
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 2855 TEMPLE AVE STE B
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City | SIGNAL HILL
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State | CA
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Zip | 90755-2212
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Country | US
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Telephone | 562-426-7500
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Fax | 562-424-9588
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Provider Business Mailing Address
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Address Line | 5360 SILVER CANYON RD UNIT D
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City | YORBA LINDA
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State | CA
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Zip | 92887-3940
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Country | US
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Telephone | 949-945-8060
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95029020
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License Number State | CA
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