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General NPI Number Information
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NPI Number | 1669115366
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Entity Type | Individual
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Provider Name | CLARISSA SPITZ NP
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Gender | Female
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 17236 SATICOY ST
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City | VAN NUYS
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State | CA
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Zip | 91406-2103
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Country | US
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Telephone | 818-600-8912
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Fax |
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Provider Business Mailing Address
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Address Line | 916 N TURNER AVE APT 62
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City | ONTARIO
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State | CA
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Zip | 91764-5304
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Country | US
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Telephone | 626-940-6357
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95032742
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License Number State | CA
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