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General NPI Number Information
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NPI Number | 1679257323
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Entity Type | Individual
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Provider Name | BIANCA MARIE CULHANE PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 2001 SANTA MONICA BLVD STE 1260W
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City | SANTA MONICA
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State | CA
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Zip | 90404-2110
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Country | US
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Telephone | 310-829-1711
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Fax |
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Provider Business Mailing Address
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Address Line | 4368 CENTRAL AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-2918
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Country | US
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Telephone | 951-742-7324
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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