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General NPI Number Information
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NPI Number | 1710623442
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Entity Type | Individual
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Provider Name | CINTHYA NAYELI DE LA CRUZ CARDENAS PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 801 E KATELLA AVE
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City | ANAHEIM
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State | CA
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Zip | 92805-6614
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Country | US
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Telephone | 714-633-6373
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Fax |
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Provider Business Mailing Address
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Address Line | 115 N ORANGE AVE
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City | AZUSA
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State | CA
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Zip | 91702-4331
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Country | US
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Telephone | 626-428-2939
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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 | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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