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General NPI Number Information
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NPI Number | 1952011975
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Entity Type | Individual
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Provider Name | CATHERINE O EZEALAOFOR
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Gender | Female
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 1670 E 120TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90059-3026
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Country | US
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Telephone | 424-338-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 11423 MENLO AVE APT A
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City | HAWTHORNE
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State | CA
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Zip | 90250-0909
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Country | US
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Telephone | 562-303-4501
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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 | 95022875
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License Number State | CA
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