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General NPI Number Information
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NPI Number | 1114714284
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Entity Type | Individual
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Provider Name | DAISY O ALVARADO FNP-C, RN, PHN, CBN
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 200 OCEANGATE STE 100
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City | LONG BEACH
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State | CA
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Zip | 90802-4317
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Country | US
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Telephone | 951-660-6224
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Fax |
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Provider Business Mailing Address
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Address Line | 20344 SILKTASSEL RD
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City | RIVERSIDE
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State | CA
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Zip | 92508-3024
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Country | US
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Telephone |
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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 | 95034557
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License Number State | CA
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