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General NPI Number Information
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NPI Number | 1417961780
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Entity Type | Individual
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Provider Name | ALYSON R KUROSKI-MAZZEI D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 41640 CORNING PL SUITE 109
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City | MURRIETA
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State | CA
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Zip | 92562-8011
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Country | US
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Telephone | 951-894-8624
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Fax | 951-602-6157
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Provider Business Mailing Address
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Address Line | 41640 CORNING PL STE 109
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City | MURRIETA
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State | CA
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Zip | 92562-7048
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Country | US
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Telephone | 951-894-8624
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Fax | 951-602-6157
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 200400224
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License Number State | NC
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