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General NPI Number Information
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NPI Number | 1205968807
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Entity Type | Organization
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Legal Business Name | LUIS A AYALA, M.D.
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1250 N IRWIN ST
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City | HANFORD
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State | CA
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Zip | 93230-2956
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Country | US
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Telephone | 559-583-9100
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Fax | 559-583-0925
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Provider Business Mailing Address
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Address Line | 1250 N IRWIN ST
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City | HANFORD
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State | CA
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Zip | 93230-2956
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Country | US
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Telephone | 559-583-9100
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Fax | 559-583-0925
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DR. SUZETTE J GARCIA
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Credential | CCMA-AC, ASBA
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Telephone | 559-583-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A060697
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License Number State | CA
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