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General NPI Number Information
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NPI Number | 1568230514
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Entity Type | Individual
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Provider Name | ELENI CATLI LISING FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 1020 S ANAHEIM BLVD STE 220
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City | ANAHEIM
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State | CA
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Zip | 92805-5821
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Country | US
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Telephone | 714-635-7127
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Fax |
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Provider Business Mailing Address
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Address Line | 10283 JASMINE CT
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City | STANTON
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State | CA
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Zip | 90680-8505
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Country | US
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Telephone | 714-782-4369
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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 | 95027401
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License Number State | CA
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