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General NPI Number Information
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NPI Number | 1609519768
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Entity Type | Individual
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Provider Name | RICHARD NZIOKA MUSINA REGISTERED NURSE
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Gender | Male
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Dates
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Enumeration Date | 04/17/2022
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Last Update Date | 04/17/2022
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Provider Practice Location Address
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Address Line | 2855 W LINCOLN AVE APT 106
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City | ANAHEIM
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State | CA
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Zip | 92801-8200
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Country | US
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Telephone | 714-932-0576
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 W LINCOLN AVE APT 106
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City | ANAHEIM
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State | CA
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Zip | 92801-8200
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Country | US
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Telephone | 714-932-0576
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 95257430
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License Number State | CA
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