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General NPI Number Information
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NPI Number | 1770807778
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Entity Type | Individual
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Provider Name | GHANA M MCGOWAN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2010
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 1240 ROSECRANS AVE STE 120
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-2558
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Country | US
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Telephone | 310-795-8807
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Fax |
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Provider Business Mailing Address
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Address Line | 10950 ARROW RTE UNIT 876
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729-7237
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Country | US
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Telephone | 937-903-1243
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 271349-COA1
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License Number State | OH
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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 | COA11338-NP
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN263628
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License Number State | GA
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