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General NPI Number Information
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NPI Number | 1447729280
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Entity Type | Individual
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Provider Name | ALEXIS PENA RCP
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Gender | Male
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Dates
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Enumeration Date | 11/23/2018
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 2350 GEARY BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3305
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Country | US
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Telephone | 415-833-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 GOLDIE AVE
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City | MODESTO
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State | CA
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Zip | 95350-2519
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Country | US
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Telephone | 209-300-2322
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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 | 2279G1100X
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Taxonomy Name | General Care Registered Respiratory Therapist
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License Number | 33130
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License Number State | CA
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