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General NPI Number Information
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NPI Number | 1548761299
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Entity Type | Individual
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Provider Name | MERARY LOPEZ
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Gender | Female
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 400 E HERMOSA ST
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City | LINDSAY
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State | CA
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Zip | 93247-2124
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Country | US
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Telephone | 559-562-8292
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Fax |
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Provider Business Mailing Address
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Address Line | 5957 S MOONEY BLVD
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City | VISALIA
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State | CA
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Zip | 93277-9394
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Country | US
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Telephone | 559-624-8046
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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