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General NPI Number Information
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NPI Number | 1962683938
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Entity Type | Organization
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Legal Business Name | WE CARE MORE II FAMILY CLINIC
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 2110A N SANTA FE AVE
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City | COMPTON
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State | CA
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Zip | 90222
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Country | US
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Telephone | 310-637-7131
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Fax | 310-637-7172
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Provider Business Mailing Address
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Address Line | 2110A N SANTA FE AVE
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City | COMPTON
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State | CA
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Zip | 90222
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Country | US
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Telephone | 310-637-7131
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Fax | 310-637-7172
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CYNTHIA Y LIDY
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Credential | NP
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Telephone | 310-637-7131
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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 |
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License Number State |
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