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General NPI Number Information
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NPI Number | 1699674820
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Entity Type | Individual
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Provider Name | STEVEN LEON REPASS RN
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Gender | Male
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 24451 HEALTH CENTER DR
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3689
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Country | US
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Telephone | 949-837-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 3332 GALE AVE UNIT A
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City | LONG BEACH
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State | CA
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Zip | 90810-2555
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Country | US
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Telephone | 562-234-0264
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95230292
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License Number State | CA
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