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General NPI Number Information
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NPI Number | 1740958099
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Entity Type | Organization
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Legal Business Name | HOOVER CLINICA URGENCIA
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 1620 S HOOVER ST STE B
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City | LOS ANGELES
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State | CA
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Zip | 90006-4910
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Country | US
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Telephone | 213-275-1314
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Fax | 213-275-1456
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Provider Business Mailing Address
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Address Line | 1620 S HOOVER ST STE B
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City | LOS ANGELES
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State | CA
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Zip | 90006-4910
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Country | US
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Telephone | 213-275-1314
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Fax | 213-275-1456
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SAMIRA JAVAHERIFAR
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Credential | NP
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Telephone | 818-321-8486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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