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General NPI Number Information
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NPI Number | 1689038507
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Entity Type | Individual
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Provider Name | PEDRO E MORANTE NP
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Gender | Male
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 6245 DELONGPRE AVE 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90028
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Country | US
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Telephone | 888-783-1883
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Fax | 888-653-3144
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Provider Business Mailing Address
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Address Line | 28802 GARNET CANYON DR
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City | SANTA CLARITA
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State | CA
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Zip | 91390-5263
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Country | US
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Telephone | 661-888-0195
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95004061
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95004061
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95004061
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License Number State | CA
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