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General NPI Number Information
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NPI Number | 1366611899
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Entity Type | Individual
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Provider Name | FREIDA NADIR ALANIZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4457 BAYOU BLVD
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City | PENSACOLA
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State | FL
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Zip | 32503-2601
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Country | US
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Telephone | 850-226-6801
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Fax | 877-413-5104
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Provider Business Mailing Address
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Address Line | 930 MAR WALT DR UNIT C
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547
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Country | US
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Telephone | 850-226-6801
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Fax | 877-413-5104
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19388
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 4391
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9107135
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9111848
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License Number State | FL
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