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General NPI Number Information
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NPI Number | 1821755984
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Entity Type | Individual
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Provider Name | EULALIA CORTEZ
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Gender | Female
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 3141 E COAST HWY
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-2330
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Country | US
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Telephone | 949-675-0414
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Fax | 949-675-1188
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Provider Business Mailing Address
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Address Line | 656 IMPERIAL HWY APT G
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City | FULLERTON
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State | CA
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Zip | 92835-1125
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Country | US
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Telephone | 714-487-8681
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 170300
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License Number State | CA
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