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General NPI Number Information
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NPI Number | 1689402935
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Entity Type | Individual
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Provider Name | REGINE MARIE LAPITAN NP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2024
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 1100 S COAST HWY
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-2968
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Country | US
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Telephone | 949-632-8087
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Fax |
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Provider Business Mailing Address
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Address Line | 1702 E ALBREDA ST
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City | CARSON
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State | CA
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Zip | 90745-1818
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Country | US
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Telephone | 310-977-7142
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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 | 95028416
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License Number State | CA
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