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General NPI Number Information
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NPI Number | 1558256271
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Entity Type | Individual
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Provider Name | AUTUMN FAITH AVALOS RN
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 1531 ESPLANADE
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City | CHICO
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State | CA
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Zip | 95926-3310
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Country | US
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Telephone | 530-332-7309
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Fax |
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Provider Business Mailing Address
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Address Line | 170 ARTESIA DR
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City | CHICO
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State | CA
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Zip | 95973-5614
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Country | US
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Telephone | 530-354-4627
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95037536
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 95037536
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95167088
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License Number State | CA
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