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General NPI Number Information
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NPI Number | 1205525243
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Entity Type | Organization
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Legal Business Name | LIZA ALVARADO DNP A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 25186 HANCOCK AVE STE 210
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City | MURRIETA
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State | CA
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Zip | 92562-5998
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Country | US
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Telephone | 951-215-6747
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Fax | 619-268-5255
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Provider Business Mailing Address
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Address Line | 25186 HANCOCK AVE STE 210
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City | MURRIETA
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State | CA
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Zip | 92562-5998
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Country | US
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Telephone | 951-215-6747
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Fax | 619-268-5255
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Authorized Official
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Title or Position | CEO
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Name | LIZA P ALVARADO
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Credential | NP
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Telephone | 619-228-3492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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