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General NPI Number Information
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NPI Number | 1497055198
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Entity Type | Individual
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Provider Name | ALMA ROCIO DEL VALLE PA
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Gender | Female
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 3635 BRADSHAW RD STE B
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City | SACRAMENTO
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State | CA
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Zip | 95827-3277
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Country | US
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Telephone | 916-368-1500
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Fax | 916-368-1501
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Provider Business Mailing Address
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Address Line | 3504 REDGOLD WAY
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City | SACRAMENTO
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State | CA
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Zip | 95826-4631
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Country | US
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Telephone | 916-717-9225
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Fax | 916-341-0192
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA21259
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License Number State | CA
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