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NPI 1275328296

NPI 1275328296 : ADELA A ALVAREZ-SOTELO : LA QUINTA, CA

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General NPI Number Information
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    NPI Number           |    1275328296
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    Entity Type          |    Individual 
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    Provider Name        |    ADELA A ALVAREZ-SOTELO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/10/2025
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    Last Update Date     |    04/10/2025
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Provider Practice Location Address
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    Address Line         |    47110 WASHINGTON ST STE 203 
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    City                 |    LA QUINTA
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    State                |    CA
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    Zip                  |    92253-2186
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    Country              |    US
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    Telephone            |    760-564-9205
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    47110 WASHINGTON ST STE 203 
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    City                 |    LA QUINTA
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    State                |    CA
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    Zip                  |    92253-2186
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    Country              |    US
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    Telephone            |    760-564-9205
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    Fax                  |    760-771-6215
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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        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    
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