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General NPI Number Information
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NPI Number | 1821545070
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Entity Type | Individual
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Provider Name | CLEOTILDE ZAMORA NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 26777 AGOURA RD
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City | CALABASAS
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State | CA
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Zip | 91302-2967
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Country | US
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Telephone | 818-880-2225
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Fax | 818-880-2228
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Provider Business Mailing Address
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Address Line | 10854 DARBY AVE
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City | NORTHRIDGE
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State | CA
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Zip | 91326-2822
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Country | US
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Telephone | 323-272-5138
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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 | 95004721
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License Number State | CA
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