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General NPI Number Information
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NPI Number | 1669018826
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Entity Type | Organization
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Legal Business Name | MLA HEALTH SERVICES INC
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 710 N EUCLID ST
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City | ANAHEIM
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State | CA
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Zip | 92801-4122
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Country | US
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Telephone | 424-558-2585
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Fax | 562-278-2084
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Provider Business Mailing Address
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Address Line | 20703 IBEX AVE
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City | LAKEWOOD
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State | CA
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Zip | 90715-1533
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Country | US
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Telephone | 424-558-2585
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Fax | 562-278-2084
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Authorized Official
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Title or Position | CEO/ OWNER
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Name | MAY AGUILAR
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Credential | NP
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Telephone | 424-558-2585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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