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General NPI Number Information
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NPI Number | 1649225558
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Entity Type | Individual
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Provider Name | FELICIANO ANTONIO SERRANO II M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 7305 PACIFIC BLVD FL 2
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5736
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Country | US
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Telephone | 323-585-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 7429 3RD ST
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City | DOWNEY
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State | CA
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Zip | 90241-3211
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Country | US
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Telephone | 562-688-2589
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A88849
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A88849
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | A88849
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A88849
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License Number State | CA
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