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General NPI Number Information
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NPI Number | 1902565716
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Entity Type | Individual
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Provider Name | MULIKA Y TSI
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Gender | Female
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 12865 MAIN ST, STE 105
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City | GARDEN GROVE
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State | CA
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Zip | 92840
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Country | US
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Telephone | 800-768-1977
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Fax | 800-768-1977
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Provider Business Mailing Address
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Address Line | 6282 SANTA CATALINA AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92845-1224
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Country | US
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Telephone | 562-537-5707
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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 | 95019293
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License Number State | CA
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