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General NPI Number Information
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NPI Number | 1366327892
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Entity Type | Individual
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Provider Name | RAYMOND ALZATE BSN, RN, CNOR, RNFA
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Gender | Male
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1301 N ROSE DR
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City | PLACENTIA
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State | CA
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Zip | 92870-3802
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Country | US
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Telephone | 714-993-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 7325 EL DOMINO WAY APT 2
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City | BUENA PARK
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State | CA
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Zip | 90620-2642
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Country | US
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Telephone |
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 95320271
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License Number State | CA
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