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General NPI Number Information
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NPI Number | 1417856451
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Entity Type | Individual
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Provider Name | ALAYNA MICHELLE THEYE PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 555 E HARDY ST
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City | INGLEWOOD
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State | CA
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Zip | 90301-4011
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Country | US
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Telephone | 310-673-4660
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 638
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City | MENIFEE
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State | CA
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Zip | 92586-0638
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Country | US
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Telephone | 512-705-3548
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 69257
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License Number State | CA
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