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General NPI Number Information
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NPI Number | 1528325412
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Entity Type | Individual
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Provider Name | CARLOS ALBERTO CONTRERAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 3100 OAK RD STE 270
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City | WALNUT CREEK
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State | CA
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Zip | 94597-2078
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Country | US
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Telephone | 925-944-9711
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Fax |
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Provider Business Mailing Address
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Address Line | 2336 TIERRA FABIAN PL
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City | EL PASO
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State | TX
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Zip | 79938-2459
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Country | US
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Telephone | 915-422-9587
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A129587
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A129587
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License Number State | CA
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