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General NPI Number Information
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NPI Number | 1619193208
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Entity Type | Individual
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Provider Name | NORMA ELISA AVINA NP
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 125 W THOUSAND OAKS BLVD STE 300
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4460
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Country | US
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Telephone | 805-418-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 800 S VICTORIA AVE # L4640
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City | VENTURA
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State | CA
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Zip | 93009-0002
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Country | US
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Telephone | 805-677-5146
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 442850
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 8552
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License Number State | CA
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