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General NPI Number Information
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NPI Number | 1770809998
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Entity Type | Individual
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Provider Name | ZORAIDA CUISON SALONGA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | 5830 OVERHILL DR SUITE 2
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City | LOS ANGELES
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State | CA
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Zip | 90043-2710
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Country | US
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Telephone | 323-291-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 323 WELCOME ST # 3
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City | LOS ANGELES
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State | CA
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Zip | 90026-5565
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Country | US
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Telephone | 213-300-1344
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A48378
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A48378
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License Number State | CA
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