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General NPI Number Information
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NPI Number | 1649707456
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Entity Type | Individual
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Provider Name | ERICA SIMONE TUKIAINEN M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 221 WESTWOOD PLZ FL 1
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City | LOS ANGELES
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State | CA
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Zip | 90095-6021
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Country | US
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Telephone | 310-825-4073
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Fax | 310-987-1172
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Provider Business Mailing Address
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Address Line | 221 WESTWOOD PLZ FL 1
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City | LOS ANGELES
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State | CA
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Zip | 90095-4103
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Country | US
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Telephone | 310-825-4073
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Fax | 310-987-1172
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A158514
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | A158514
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License Number State | CA
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