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General NPI Number Information
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NPI Number | 1952296741
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Entity Type | Individual
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Provider Name | ICA LOVAN
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 49370 ROAD 426 STE B
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City | OAKHURST
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State | CA
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Zip | 93644-9052
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Country | US
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Telephone | 559-641-6321
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Fax |
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Provider Business Mailing Address
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Address Line | 5834 MEADOW LN
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City | MARIPOSA
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State | CA
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Zip | 95338-9612
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Country | US
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Telephone | 916-519-1824
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | E186445
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License Number State | CA
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