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General NPI Number Information
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NPI Number | 1699597757
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Entity Type | Individual
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Provider Name | JENINE GIOVANINI NP
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Gender | Female
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 4650 SUNSET BLVD. MAILSTOP #81
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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 | 323-361-3033
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Fax |
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Provider Business Mailing Address
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Address Line | 28935 MIRADA CIRCULO
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City | VALENCIA
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State | CA
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Zip | 91354-1589
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Country | US
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Telephone | 805-328-7100
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95012634
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License Number State | CA
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