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General NPI Number Information
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NPI Number | 1437885837
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Entity Type | Individual
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Provider Name | NANCY ANDA ALVAREZ NP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 723 BRIAR HILL CIR
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City | SIMI VALLEY
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State | CA
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Zip | 93065-6004
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Country | US
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Telephone | 818-448-4366
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Fax |
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Provider Business Mailing Address
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Address Line | 723 BRIAR HILL CIR
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City | SIMI VALLEY
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State | CA
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Zip | 93065-6004
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Country | US
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Telephone | 818-448-4366
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | NP95021578
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NPF95021578
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License Number State | CA
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