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General NPI Number Information
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NPI Number | 1558184929
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Entity Type | Individual
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Provider Name | MISS DAISY ANGELICA ORDONEZ
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Gender | Female
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 6400 LAUREL CANYON BLVD STE 500
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-1562
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Country | US
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Telephone | 818-901-6376
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Fax | 818-904-9273
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Provider Business Mailing Address
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Address Line | 9040 TOBIAS AVE APT 101
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City | PANORAMA CITY
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State | CA
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Zip | 91402-1734
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Country | US
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Telephone | 818-915-9639
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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