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General NPI Number Information
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NPI Number | 1558185058
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Entity Type | Organization
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Legal Business Name | FIRST RESPONSE HEALTHCARE INC., DOCTOR OF NURSING PRACTICE
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 11035 CRENSHAW BLVD
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City | INGLEWOOD
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State | CA
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Zip | 90303-2303
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Country | US
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Telephone | 310-853-3855
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Fax |
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Provider Business Mailing Address
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Address Line | 1826 246TH ST
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City | LOMITA
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State | CA
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Zip | 90717-1323
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Country | US
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Telephone | 323-909-0795
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | DR. ADAEZE NWANONENYI
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Credential | DNP
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Telephone | 310-853-3855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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