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General NPI Number Information
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NPI Number | 1114840733
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Entity Type | Individual
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Provider Name | ALEJANDRO JOSE PERALTA ORTEGA FNP-C
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Gender | Male
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 13760 N 93RD AVE STE 101
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City | PEORIA
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State | AZ
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Zip | 85381-4203
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Country | US
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Telephone | 623-547-2600
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Fax | 623-547-1899
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Provider Business Mailing Address
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Address Line | 3260 N HAYDEN RD STE 112
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6650
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Country | US
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Telephone | 602-264-9100
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Fax | 602-264-9101
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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 | 219074
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License Number State | AZ
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