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General NPI Number Information
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NPI Number | 1629301452
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Entity Type | Individual
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Provider Name | LASHAWN RENEE MCCOMBS NP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 800 N STATE COLLEGE BLVD
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City | FULLERTON
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State | CA
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Zip | 92831-3547
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Country | US
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Telephone | 657-278-2800
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Fax | 657-278-3069
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Provider Business Mailing Address
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Address Line | 13914 VALNA DR
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City | WHITTIER
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State | CA
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Zip | 90605-1041
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Country | US
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Telephone | 909-553-4563
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN641031
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License Number State | CA
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