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General NPI Number Information
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NPI Number | 1538777586
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Entity Type | Individual
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Provider Name | ALEXA BROZICK PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/16/2020
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 235 E BROADWAY STE 314
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City | LONG BEACH
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State | CA
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Zip | 90802-7801
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Country | US
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Telephone | 888-588-8995
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Fax |
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Provider Business Mailing Address
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Address Line | 3204 WILLOW POINT AVE
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City | CHINO HILLS
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State | CA
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Zip | 91709-2898
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Country | US
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Telephone | 909-837-8302
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95031608
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN95201876
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License Number State | CA
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