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NPI 1558272732

NPI 1558272732 : NIDIA ITZELTH PADILLA : LAWNDALE, CA

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General NPI Number Information
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    NPI Number           |    1558272732
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    Entity Type          |    Individual 
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    Provider Name        |    NIDIA ITZELTH PADILLA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/15/2026
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    Last Update Date     |    09/15/2026
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Provider Practice Location Address
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    Address Line         |    3728 W 154TH ST 
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    City                 |    LAWNDALE
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    State                |    CA
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    Zip                  |    90260-2464
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    Country              |    US
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    Telephone            |    310-675-9134
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2448 E 126TH ST APT 106 
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    City                 |    COMPTON
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    State                |    CA
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    Zip                  |    90222-1541
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    Country              |    US
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    Telephone            |    
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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        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    
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