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General NPI Number Information
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NPI Number | 1558099671
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Entity Type | Individual
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Provider Name | RUZZIEL BARCIAL LORICO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 8615 KNOTT AVE STE 3
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City | BUENA PARK
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State | CA
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Zip | 90620-3886
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Country | US
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Telephone | 714-527-4833
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Fax |
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Provider Business Mailing Address
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Address Line | 1326 N MARINER WAY
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City | ANAHEIM
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State | CA
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Zip | 92801-7716
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Country | US
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Telephone | 409-225-2158
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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 | 95022052
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License Number State | CA
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