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General NPI Number Information
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NPI Number | 1043024847
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Entity Type | Individual
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Provider Name | ALEJANDRA PATRICIA MEDINA CNA
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 3570 CAMINO DEL RIO N STE 201
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City | SAN DIEGO
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State | CA
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Zip | 92108-1747
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Country | US
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Telephone | 619-507-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 4542 FELTON ST APT H
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City | SAN DIEGO
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State | CA
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Zip | 92116-4474
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Country | US
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Telephone | 619-895-8662
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 01176049
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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