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General NPI Number Information
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NPI Number | 1083215735
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Entity Type | Individual
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Provider Name | AHECIO ALEXANDER LABRADA IZQUIERDO APRN
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Gender | Male
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Dates
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Enumeration Date | 11/07/2020
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 6502 N 35TH AVE STE 1
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City | PHOENIX
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State | AZ
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Zip | 85017-1496
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Country | US
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Telephone | 602-283-5732
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Fax | 602-314-4579
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Provider Business Mailing Address
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Address Line | 6502 N 35TH AVE STE 1
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City | PHOENIX
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State | AZ
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Zip | 85017-1496
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Country | US
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Telephone | 602-283-5732
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Fax | 602-314-4579
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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 | 251902
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11010075
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License Number State | FL
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