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General NPI Number Information
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NPI Number | 1609916600
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Entity Type | Individual
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Provider Name | LUCY CUEVAS-LOYA PAC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 15717 PARAMOUNT BLVD
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City | PARAMOUNT
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State | CA
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Zip | 90723-4377
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Country | US
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Telephone | 562-602-6565
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Fax | 562-531-8845
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Provider Business Mailing Address
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Address Line | 11634 EVERSTON ST
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City | NORWALK
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State | CA
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Zip | 90650-5852
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Country | US
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Telephone | 310-346-6189
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Fax | 562-531-8845
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA18770
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License Number State | CA
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