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General NPI Number Information
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NPI Number | 1659493203
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Entity Type | Individual
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Provider Name | ELIZA MARIE GUILLINTA R.P.T
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 28880 LYONS AVE SUITE 100
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City | NEW HALL
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State | CA
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Zip | 91307-2005
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Country | US
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Telephone | 661-290-2884
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Fax | 818-346-5948
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Provider Business Mailing Address
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Address Line | 27024 WOLF CREEK TRL UNIT 21
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City | VALENCIA
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State | CA
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Zip | 91354-2664
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Country | US
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Telephone | 310-415-5212
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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