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General NPI Number Information
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NPI Number | 1710549803
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Entity Type | Individual
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Provider Name | KARINA MICHELLE PARRA-MORALES PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 707 FOOTHILL BLVD UNIT 2
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City | LA CANADA
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State | CA
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Zip | 91011-3455
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Country | US
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Telephone | 818-864-6499
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 HIGHLAND AVE # 1433
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City | DUARTE
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State | CA
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Zip | 91010-2512
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Country | US
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Telephone | 626-807-3718
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA56913
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License Number State | CA
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