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General NPI Number Information
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NPI Number | 1649474289
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Entity Type | Individual
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Provider Name | KAMELA LOO CFNP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9300 VALLEY CHILDRENS PL
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City | MADERA
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State | CA
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Zip | 93638-8761
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Country | US
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Telephone | 559-353-6517
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Fax |
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Provider Business Mailing Address
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Address Line | 8709 N FULLER AVE
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City | FRESNO
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State | CA
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Zip | 93720-1657
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Country | US
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Telephone | 559-434-2647
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | NP12371
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License Number State | CA
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