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General NPI Number Information
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NPI Number | 1134465933
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Entity Type | Individual
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Provider Name | MARIA ALEXANDRA FUCHS PA
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Gender | Female
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Dates
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Enumeration Date | 12/25/2012
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 21507 E CLIFF DR
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City | SANTA CRUZ
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State | CA
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Zip | 95062-4844
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Country | US
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Telephone | 831-427-3500
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Fax | 831-427-3500
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Provider Business Mailing Address
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Address Line | 65 ASPEN WAY
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City | WATSONVILLE
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State | CA
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Zip | 95076-6054
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA22513
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License Number State | CA
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