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General NPI Number Information
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NPI Number | 1295556256
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Entity Type | Individual
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Provider Name | ALANNA PENECALE IORIO AGNP
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Gender | Female
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 838 NORDAHL RD STE 300
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City | SAN MARCOS
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State | CA
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Zip | 92069-3599
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Country | US
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Telephone | 760-747-8935
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Fax | 760-747-7951
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Provider Business Mailing Address
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Address Line | 1510 E HERNDON AVE STE 310
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City | FRESNO
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State | CA
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Zip | 93720-3393
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Country | US
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Telephone | 559-326-1222
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Fax | 559-421-7004
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95032680
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License Number State | CA
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