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General NPI Number Information
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NPI Number | 1912606047
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Entity Type | Individual
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Provider Name | JHEMAIELYNNE PRINCESS BITANA
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Gender | Female
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 1711 W TEMPLE ST
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City | LOS ANGELES
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State | CA
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Zip | 90026-7329
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Country | US
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Telephone | 562-676-6779
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Fax | 562-286-1010
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Provider Business Mailing Address
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Address Line | 1917 MONTAIR AVE
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City | LONG BEACH
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State | CA
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Zip | 90815-3012
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Country | US
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Telephone | 562-676-6779
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Fax | 562-286-1010
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 215760
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License Number State | CA
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