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General NPI Number Information
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NPI Number | 1154056752
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Entity Type | Individual
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Provider Name | GABRIELA ALFARO
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Gender | Female
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 910 KITTY HAWK RD
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City | UNIVERSAL CITY
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State | TX
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Zip | 78148-3806
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Country | US
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Telephone | 210-945-2102
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Fax |
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Provider Business Mailing Address
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Address Line | 7302 UNIVERSITY ROW APT 402
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City | SAN ANTONIO
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State | TX
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Zip | 78249-1017
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Country | US
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Telephone | 210-577-9691
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 68862
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License Number State | TX
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