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General NPI Number Information
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NPI Number | 1598609794
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Entity Type | Individual
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Provider Name | SUSAN DE CASTRO PEREZ
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Gender | Female
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 7765 LEEDS ST
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City | DOWNEY
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State | CA
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Zip | 90242-3489
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Country | US
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Telephone | 253-208-6131
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Fax |
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Provider Business Mailing Address
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Address Line | 18819 DE VOSS AVE
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City | CERRITOS
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State | CA
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Zip | 90703-6055
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Country | US
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Telephone | 714-728-5138
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95347415
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License Number State | CA
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