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General NPI Number Information
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NPI Number | 1568847978
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Entity Type | Individual
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Provider Name | CORDELIA KPADUWA NURSE PRACTITIONER P
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Gender | Female
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 13622 DEARBORN ST
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City | EASTVALE
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State | CA
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Zip | 92880-5504
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Country | US
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Telephone | 562-928-8006
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Fax | 562-928-8261
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Provider Business Mailing Address
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Address Line | 7340 FLORENCE AVE STE 219
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City | DOWNEY
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State | CA
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Zip | 90240-3672
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Country | US
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Telephone | 562-928-8006
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Fax | 562-928-8261
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 11579
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2021209235
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License Number State | CA
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