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General NPI Number Information
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NPI Number | 1396261988
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Entity Type | Organization
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Legal Business Name | MURRIETA PRIMARY CARE CLINIC JOANNA AYALA M D
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 29995 TECHNOLOGY DR STE 200
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City | MURRIETA
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State | CA
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Zip | 92563-2633
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Country | US
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Telephone | 951-698-1118
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Fax | 951-823-5763
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Provider Business Mailing Address
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Address Line | 29995 TECHNOLOGY DR STE 200
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City | MURRIETA
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State | CA
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Zip | 92563-2633
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Country | US
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Telephone | 951-698-1118
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Fax | 951-823-5763
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOANNA AYALA
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Credential | MD
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Telephone | 818-370-6581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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