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General NPI Number Information
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NPI Number | 1992160345
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Entity Type | Individual
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Provider Name | ELMIRA L CARPIO AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 5701 S EASTERN AVE FL 5
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City | COMMERCE
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State | CA
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Zip | 90040-2973
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Country | US
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Telephone | 323-837-0998
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 702-579-3203
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 598695
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95002908
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License Number State | CA
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