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General NPI Number Information
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NPI Number | 1336864305
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Entity Type | Individual
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Provider Name | ALEX EDWARD PEREIRA ND
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Gender | Male
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1545 BROADWAY STE 1A
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-2539
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Country | US
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Telephone | 916-351-9355
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Fax | 415-292-7911
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Provider Business Mailing Address
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Address Line | 8559 MORNING SKYE WAY
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City | ANTELOPE
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State | CA
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Zip | 95843-5408
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Country | US
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Telephone | 916-607-5307
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND1376
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License Number State | CA
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