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General NPI Number Information
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NPI Number | 1407691116
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Entity Type | Individual
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Provider Name | ALEJANDRA YAZMIN CUEVAS
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Gender | Female
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Dates
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Enumeration Date | 06/26/2024
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 669 W 34TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90089-0067
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Country | US
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Telephone | 855-783-9676
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 N QUINCE AVE
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City | UPLAND
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State | CA
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Zip | 91786-3140
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Country | US
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Telephone | 626-394-5756
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95030249
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License Number State | CA
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