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General NPI Number Information
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NPI Number | 1588166375
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Entity Type | Individual
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Provider Name | ALEXANDRA LAUREN LATHOS MSN, APRN,FNP-C, ATC
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Gender | Female
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 23 UPPER RAGSDALE DR STE 200
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City | MONTEREY
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State | CA
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Zip | 93940-7849
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Country | US
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Telephone | 831-375-3577
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Fax |
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Provider Business Mailing Address
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Address Line | 27116 PRESTANCIA WAY
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City | SALINAS
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State | CA
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Zip | 93908-1556
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Country | US
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Telephone | 831-809-3166
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95035473
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License Number State | CA
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