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General NPI Number Information
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NPI Number | 1548557309
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Entity Type | Individual
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Provider Name | ESTHER LOYA P.A.C
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Gender | Female
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 8891 CENTRAL AVE
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City | MONTCLAIR
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State | CA
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Zip | 91763-1618
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Country | US
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Telephone | 909-297-3361
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Fax | 909-621-1397
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Provider Business Mailing Address
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Address Line | 812 W LA DENEY DR
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City | ONTARIO
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State | CA
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Zip | 91762-1222
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Country | US
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Telephone | 909-472-7562
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 21261
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License Number State | CA
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