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General NPI Number Information
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NPI Number | 1548576929
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Entity Type | Individual
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Provider Name | MRS. NANCEE RENEE PEREZ
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Gender | Female
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 18200 YORBA LINDA BOULEVARD SUITE 401
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City | YORBA LINDA
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State | CA
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Zip | 92886
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Country | US
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Telephone | 714-646-8010
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Fax | 714-572-2562
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Provider Business Mailing Address
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Address Line | 506 S MADRONA AVE
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City | BREA
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State | CA
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Zip | 92821-5353
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Country | US
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Telephone | 714-529-4618
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 914619
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License Number State | CA
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