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General NPI Number Information
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NPI Number | 1992427751
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Entity Type | Individual
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Provider Name | KATHLEEN LIMPENGCO BSN, RN, MSN - FNP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 3946 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90010-3303
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Country | US
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Telephone | 213-382-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 SIERRA BONITA DR
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City | PLACENTIA
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State | CA
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Zip | 92870-2505
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Country | US
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Telephone | 951-315-7357
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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 | 95020364
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 95177598
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License Number State | CA
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