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General NPI Number Information
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NPI Number | 1669471363
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Entity Type | Individual
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Provider Name | PACITA B NEUMANN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 1542 E FLORENCE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90001-2536
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Country | US
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Telephone | 323-584-0222
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Fax | 323-584-0634
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Provider Business Mailing Address
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Address Line | 2661 E WASHINGTON BLVD
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City | PASADENA
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State | CA
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Zip | 91107-1412
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Country | US
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Telephone | 626-798-4952
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Fax | 626-798-5260
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A40240
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License Number State | CA
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