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General NPI Number Information
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NPI Number | 1205659851
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Entity Type | Individual
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Provider Name | ALEXIS MARY ZORA
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 1850 5TH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92101-2713
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Country | US
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Telephone | 619-615-0726
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Fax |
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Provider Business Mailing Address
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Address Line | 3990 LA CRESTA WAY
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City | BONITA
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State | CA
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Zip | 91902-2575
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Country | US
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Telephone | 619-259-9458
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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 | 90004
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License Number State | CA
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