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General NPI Number Information
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NPI Number | 1548763444
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Entity Type | Individual
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Provider Name | JESSICA BESAMI MENDEZ NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/16/2018
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Last Update Date | 03/16/2018
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST
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City | TORRANCE
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State | CA
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Zip | 90502-2004
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Country | US
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Telephone | 323-973-0527
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Fax |
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Provider Business Mailing Address
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Address Line | 14325 BEN NEVIS AVE
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City | NORWALK
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State | CA
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Zip | 90650-5102
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Country | US
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Telephone | 323-973-0527
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95004417
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License Number State | CA
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