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General NPI Number Information
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NPI Number | 1770562498
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Entity Type | Individual
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Provider Name | NAOMI NAKATA M.A.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5300 MCCONNELL AVE
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City | LOS ANGELES
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State | CA
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Zip | 90066-7026
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Country | US
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Telephone | 310-482-5561
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Fax | 310-482-5600
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Provider Business Mailing Address
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Address Line | 20 AVENIDA DE CAMELIA
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-6392
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Country | US
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Telephone | 310-544-4408
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Fax | 310-544-4878
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State | CA
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