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General NPI Number Information
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NPI Number | 1801616164
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Entity Type | Individual
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Provider Name | JOEL JESUS GARCIA-COETO LVN
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Gender | Male
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 1891 EFFIE ST
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City | LOS ANGELES
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State | CA
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Zip | 90026-1793
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Country | US
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Telephone | 323-644-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 1/2 S CATALINA ST
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City | LOS ANGELES
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State | CA
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Zip | 90006-4416
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Country | US
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Telephone | 424-599-3815
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 740028
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License Number State | CA
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