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General NPI Number Information
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NPI Number | 1972368017
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Entity Type | Individual
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Provider Name | CYNTHIA AREVALO
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Gender | Female
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 4511 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022
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Country | US
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Telephone | 323-264-2890
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Fax |
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Provider Business Mailing Address
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Address Line | 11355 CULVER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90066
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Country | US
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Telephone |
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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 | NP95026751
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License Number State | CA
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