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General NPI Number Information
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NPI Number | 1679898928
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Entity Type | Individual
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Provider Name | MAKI OKADA NP
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Gender | Female
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 4650 SUNSET BOULEVARD MS #54
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City | LOS ANGELES
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State | CA
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Zip | 90027
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Country | US
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Telephone | 323-361-7558
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Fax |
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Provider Business Mailing Address
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Address Line | 2653 ELM AVE STE 100
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City | LONG BEACH
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State | CA
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Zip | 90806-1654
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Country | US
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Telephone | 310-809-9796
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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 | 17581
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License Number State | CA
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