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General NPI Number Information
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NPI Number | 1174122741
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Entity Type | Individual
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Provider Name | ALANNA COSTELLO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 12308 MOUNTAIN MESA RD
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City | LAKE ISABELLA
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State | CA
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Zip | 93240
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Country | US
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Telephone | 760-549-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 1617 30TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1907
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Country | US
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Telephone | 661-327-4030
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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 | F08220603
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License Number State | CA
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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 | NPF95021231
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License Number State | CA
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