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General NPI Number Information
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NPI Number | 1568747947
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Entity Type | Individual
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Provider Name | NAMIKO NERIO D.O., M.S.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 100 W CALIFORNIA BLVD
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City | PASADENA
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State | CA
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Zip | 91105-3010
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Country | US
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Telephone | 626-397-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 11425 ESSEX AVE
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City | CHINO
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State | CA
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Zip | 91710-1675
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Country | US
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Telephone | 310-383-5243
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A11989
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 20A11989
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License Number State | CA
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