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General NPI Number Information
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NPI Number | 1528661436
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Entity Type | Individual
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Provider Name | ANA ALICIA FRAGA FNP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2020
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 31938 TEMECULA PKWY # A337
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City | TEMECULA
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State | CA
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Zip | 92592-6810
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Country | US
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Telephone | 951-417-4032
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Fax |
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Provider Business Mailing Address
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Address Line | 30978 MIRA LOMA DR # 92592
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City | TEMECULA
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State | CA
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Zip | 92592-3240
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Country | US
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Telephone | 760-681-4499
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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 | 95013511
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F08200002
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License Number State | CA
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