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General NPI Number Information
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NPI Number | 1417878950
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Entity Type | Individual
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Provider Name | ALEJANDRO MENDOZA
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Gender | Male
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 18THD MEDICAL GROUP
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City | APO
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State | AP
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Zip | 96367
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Country | US
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Telephone | 315-630-3044
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 80 BOX 20083
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City | APO
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State | AP
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Zip | 96367-0085
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Country | US
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Telephone | 530-306-2040
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 8354-5423-7070
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License Number State |
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