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General NPI Number Information
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NPI Number | 1255293692
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Entity Type | Individual
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Provider Name | ALONDRA NAHOMI VIZCARRA RODRIGUEZ PNP-PC
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 6633 N MESA ST STE 203
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City | EL PASO
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State | TX
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Zip | 79912-4422
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Country | US
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Telephone | 915-500-4093
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Fax |
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Provider Business Mailing Address
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Address Line | 5937 POMPANO AVE
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City | EL PASO
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State | TX
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Zip | 79924-5925
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Country | US
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Telephone | 915-279-4099
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1046362
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License Number State | TX
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