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General NPI Number Information
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NPI Number | 1750622247
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Entity Type | Individual
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Provider Name | MRS. TALI FINKELSTEIN FAYFEL
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Gender | Female
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 03/07/2013
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Provider Practice Location Address
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Address Line | 12626 RIVERSIDE DR STE 408
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-3453
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Country | US
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Telephone | 818-762-7171
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Fax | 818-762-7117
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Provider Business Mailing Address
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Address Line | 1470 PASEO DE ORO
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-1961
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Country | US
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Telephone | 310-883-3993
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Fax | 818-762-7171
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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 | 721144
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License Number State | CA
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