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General NPI Number Information
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NPI Number | 1275743932
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Entity Type | Individual
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Provider Name | JULIAN JAVIER ALFARO MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 51544 CESAR CHAVEZ ST STE 1D
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City | COACHELLA
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State | CA
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Zip | 92236-1504
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Country | US
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Telephone | 760-861-1436
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Fax | 760-289-6203
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Provider Business Mailing Address
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Address Line | PO BOX 140
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City | COACHELLA
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State | CA
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Zip | 92236-0140
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Country | US
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Telephone | 760-861-1436
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Fax | 760-289-6203
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A97986
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License Number State | CA
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