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NPI 1609642099

NPI 1609642099 : MANUEL HAZAEL BARRIGA FNP : EL CENTRO, CA

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General NPI Number Information
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    NPI Number           |    1609642099
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    Entity Type          |    Individual 
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    Provider Name        |    MANUEL HAZAEL BARRIGA FNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/28/2023
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    Last Update Date     |    07/29/2025
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Provider Practice Location Address
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    Address Line         |    1550 PEPPER DR STE C 
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    City                 |    EL CENTRO
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    State                |    CA
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    Zip                  |    92243-4166
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    Country              |    US
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    Telephone            |    760-312-5900
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    Fax                  |    866-493-3117
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Provider Business Mailing Address
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    Address Line         |    125 S 5TH ST 
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    City                 |    BRAWLEY
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    State                |    CA
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    Zip                  |    92227-2408
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    Country              |    US
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    Telephone            |    760-344-8100
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    Fax                  |    866-493-3117
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    95024078
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    License Number State |    CA
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