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General NPI Number Information
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NPI Number | 1306118211
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Entity Type | Individual
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Provider Name | ALMA POBLADOR LOPEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 228 CLAREMONT CT
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City | STOCKTON
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State | CA
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Zip | 95207-5611
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Country | US
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Telephone | 209-227-9315
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 W MARCH LN STE 2
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City | STOCKTON
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State | CA
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Zip | 95207-6422
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Country | US
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Telephone | 209-477-6300
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Fax | 209-541-3370
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20479
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License Number State | CA
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