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General NPI Number Information
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NPI Number | 1598585366
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Entity Type | Individual
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Provider Name | OSCAR ALVAREZ CERNA DC
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Gender | Male
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 47875 CALEO BAY DR # A-104
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City | LA QUINTA
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State | CA
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Zip | 92253-6386
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Country | US
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Telephone | 760-771-2332
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Fax |
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Provider Business Mailing Address
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Address Line | 45508 INDIAN RIVER RD
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City | INDIO
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State | CA
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Zip | 92201-5068
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Country | US
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Telephone | 760-625-8267
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 35230
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License Number State | CA
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