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General NPI Number Information
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NPI Number | 1629088661
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Entity Type | Individual
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Provider Name | DR. LOUIE-MARC CONTRERAS
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 25775 MCBEAN PKWY STE 216
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City | VALENCIA
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State | CA
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Zip | 91355-3703
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Country | US
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Telephone | 310-770-3033
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Fax | 562-291-1153
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Provider Business Mailing Address
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Address Line | PO BOX 40373
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City | DOWNEY
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State | CA
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Zip | 90239-1373
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A72134
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License Number State | CA
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