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General NPI Number Information
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NPI Number | 1245926849
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Entity Type | Individual
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Provider Name | ALAN TOMONARI AKITA DNP, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 04/17/2023
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 250 S G ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92410-3320
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Country | US
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Telephone | 909-382-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 15599 ALLSPICE LN
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City | FONTANA
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State | CA
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Zip | 92336-3587
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Country | US
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Telephone | 909-561-4922
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95157313
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95030863
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License Number State | CA
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