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General NPI Number Information
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NPI Number | 1851359129
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Entity Type | Individual
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Provider Name | MERILYN SANTOS ADRINEDA FNP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1141 W REDONDO BEACH BLVD SUITE 404
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City | GARDENA
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State | CA
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Zip | 90247-3586
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Country | US
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Telephone | 310-851-9260
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Fax | 310-851-9261
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Provider Business Mailing Address
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Address Line | 407 E CLARION DR
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City | CARSON
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State | CA
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Zip | 90745-1318
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Country | US
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Telephone | 310-347-8665
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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 | RN-531081 NP14080
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License Number State | CA
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