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General NPI Number Information
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NPI Number | 1942153952
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Entity Type | Individual
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Provider Name | ELEANOR ROSAPAPAN RIDDLE
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 1350 CHESTNUT AVE
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City | LONG BEACH
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State | CA
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Zip | 90813-2945
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Country | US
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Telephone | 562-599-1565
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Fax |
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Provider Business Mailing Address
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Address Line | 13227 ISIS AVE
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City | HAWTHORNE
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State | CA
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Zip | 90250-4935
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Country | US
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Telephone | 323-893-0989
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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 | 95038047
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License Number State | CA
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