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General NPI Number Information
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NPI Number | 1548106487
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Entity Type | Organization
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Legal Business Name | SIORAI WELLNESS MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 4405 ALONZO AVE
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City | ENCINO
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State | CA
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Zip | 91316-4312
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Country | US
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Telephone | 323-493-2622
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Fax |
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Provider Business Mailing Address
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Address Line | 4405 ALONZO AVE
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City | ENCINO
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State | CA
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Zip | 91316-4312
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Country | US
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Telephone | 323-493-2622
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | KARI O'DONNELL
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Credential | MSN, RN, FNP-C
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Telephone | 323-493-2622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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