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General NPI Number Information
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NPI Number | 1972636405
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Entity Type | Individual
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Provider Name | DR. AURORA LITAM
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1605 EASTLAKE AVE MEDICAL MODULE
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City | LOS ANGELES
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State | CA
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Zip | 90033-1009
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Country | US
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Telephone | 323-228-8816
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Fax | 323-227-4723
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Provider Business Mailing Address
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Address Line | 1052 SHIRLYJEAN ST
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City | GLENDALE
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State | CA
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Zip | 91208-1140
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Country | US
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Telephone | 232-226-8816
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Fax | 232-227-4723
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A048364
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License Number State | CA
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