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General NPI Number Information
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NPI Number | 1235092156
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Entity Type | Individual
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Provider Name | EDUARDO ALANIZ A.B.O.
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Gender | Male
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 7900 LIMONITE AVE STE A
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City | JURUPA VALLEY
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State | CA
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Zip | 92509-6169
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Country | US
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Telephone | 909-268-8275
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Fax |
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Provider Business Mailing Address
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Address Line | 3525 MANOR DR
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City | RIVERSIDE
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State | CA
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Zip | 92509-1436
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Country | US
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Telephone | 909-268-8275
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 194174
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License Number State | CA
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