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General NPI Number Information
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NPI Number | 1629121389
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Entity Type | Individual
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Provider Name | JOSEPHINE CHINYERE OBIALISI LVN
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15317 FREEMAN AVE
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City | LAWNDALE
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State | CA
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Zip | 90260
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Country | US
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Telephone | 310-679-4428
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Fax |
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Provider Business Mailing Address
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Address Line | 8425 BELFORD AVE
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City | WESTCHESTER
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State | CA
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Zip | 90045-4313
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Country | US
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Telephone | 310-216-7495
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Fax | 310-216-7495
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN152188
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License Number State | CA
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