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General NPI Number Information
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NPI Number | 1538615851
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Entity Type | Individual
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Provider Name | ZAIRA GUADALUPE MEDINA LVN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 350 HILLMONT AVE
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City | VENTURA
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State | CA
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Zip | 93003-1651
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Country | US
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Telephone | 805-233-7750
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Fax | 805-653-5974
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Provider Business Mailing Address
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Address Line | 24736 SPRUCE ST
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City | NEWHALL
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State | CA
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Zip | 91321-1708
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Country | US
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Telephone | 661-644-7520
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Fax | 805-655-5974
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN682493
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License Number State | CA
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