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General NPI Number Information
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NPI Number | 1558502716
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Entity Type | Organization
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Legal Business Name | J. ANTONIO ALARCON, MD INC
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 2133 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-3901
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Country | US
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Telephone | 323-201-5200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 303
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City | SURFSIDE
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State | CA
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Zip | 90743-0303
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Country | US
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Telephone | 714-375-6280
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KATHY LYNN EMERZIAN
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Credential |
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Telephone | 714-375-6280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | A401970
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License Number State | CA
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