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General NPI Number Information
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NPI Number | 1538041264
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Entity Type | Individual
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Provider Name | EDZEL JOHN TRONO LOPEZ DNP, RN
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Gender | Male
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 757 WESTWOOD PLZ
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City | LOS ANGELES
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State | CA
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Zip | 90095-8358
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Country | US
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Telephone | 310-825-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 7075 PELICAN DR
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City | BUENA PARK
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State | CA
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Zip | 90620-1352
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Country | US
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Telephone | 206-954-4981
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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 | 95035946
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95173504
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License Number State | CA
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