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General NPI Number Information
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NPI Number | 1538639919
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Entity Type | Individual
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Provider Name | ANNA MARIE PEERY MSN, PHN, WHNP, CNM
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Gender | Female
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 800 N STATE COLLEGE BLVD
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City | FULLERTON
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State | CA
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Zip | 92831-3547
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Country | US
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Telephone | 951-240-9968
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Fax |
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Provider Business Mailing Address
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Address Line | 13439 BRAZO RD
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City | LA MIRADA
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State | CA
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Zip | 90638-2931
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Country | US
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Telephone | 951-240-9968
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95010326
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 235983
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License Number State | CA
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