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General NPI Number Information
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NPI Number | 1629338447
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Entity Type | Individual
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Provider Name | GILMA ISABEL ROSA N.P
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Gender | Female
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Dates
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Enumeration Date | 05/26/2012
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Last Update Date | 05/26/2012
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Provider Practice Location Address
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Address Line | 2051 MARENGO ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-1352
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Country | US
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Telephone | 323-226-7401
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Fax |
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Provider Business Mailing Address
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Address Line | 13820 CARPINTERO AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-2723
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Country | US
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Telephone | 562-292-4201
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 569138
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License Number State | CA
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