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General NPI Number Information
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NPI Number | 1508437229
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Entity Type | Individual
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Provider Name | GABRIELLA MARISOL ALVARADO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/03/2021
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 1429 COLUSA HWY STE B
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City | YUBA CITY
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State | CA
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Zip | 95993-9456
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Country | US
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Telephone | 530-317-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 9587 WATERMAN AVE
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City | LIVE OAK
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State | CA
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Zip | 95953-9662
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Country | US
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Telephone | 530-788-6201
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95017713
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License Number State | CA
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