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NPI 1063338846

NPI 1063338846 : ALTERA HEALTH PROFESSIONAL NURSING CORPORATION : PALO ALTO, CA

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General NPI Number Information
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    NPI Number           |    1063338846
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALTERA HEALTH PROFESSIONAL NURSING CORPORATION 
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Dates
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    Enumeration Date     |    06/26/2026
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    Last Update Date     |    06/26/2026
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Provider Practice Location Address
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    Address Line         |    228 HAMILTON AVE 
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    City                 |    PALO ALTO
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    State                |    CA
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    Zip                  |    94301-2583
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    Country              |    US
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    Telephone            |    909-255-1342
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    Fax                  |    888-808-5158
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Provider Business Mailing Address
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    Address Line         |    PO BOX 8013 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27419-0013
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    Country              |    US
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    Telephone            |    909-255-1342
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    Fax                  |    888-808-5158
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     RUBY TAN RAMOS 
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    Credential           |    PMHNP
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    Telephone            |    909-255-1342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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