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General NPI Number Information
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NPI Number | 1851855779
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Entity Type | Individual
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Provider Name | ELIZABETH FRIDAY
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Gender | Female
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 16660 PARAMOUNT BLVD
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City | PARAMOUNT
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State | CA
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Zip | 90723-5433
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Country | US
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Telephone | 562-408-0131
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Fax | 772-252-3337
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Provider Business Mailing Address
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Address Line | 7552 TRABUCO LN
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City | LA PALMA
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State | CA
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Zip | 90623-1435
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Country | US
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Telephone | 562-257-8635
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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 | 95010755
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License Number State | CA
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