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General NPI Number Information
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NPI Number | 1932805900
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Entity Type | Individual
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Provider Name | MONALISA MONIQUE ORDUNO
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Gender | Female
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 06/01/2024
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Provider Practice Location Address
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Address Line | 311 N 2ND ST STE E
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City | PORTERVILLE
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State | CA
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Zip | 93257-3804
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Country | US
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Telephone | 559-361-5336
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Fax |
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Provider Business Mailing Address
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Address Line | 787 W KANAI AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-2040
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Country | US
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Telephone | 559-361-5336
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number | 13169
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License Number State | CA
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