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General NPI Number Information
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NPI Number | 1639569189
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Entity Type | Individual
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Provider Name | ELIZABETH TERTTU ALONZO AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 45 MOHOULI ST
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City | HILO
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State | HI
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Zip | 96720-7210
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Country | US
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Telephone | 808-935-3781
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Fax | 808-935-3783
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Provider Business Mailing Address
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Address Line | 45 MOHOULI ST
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City | HILO
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State | HI
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Zip | 96720-7210
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Country | US
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Telephone | 808-897-5856
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Fax | 808-935-3783
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP60675856
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60675856
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License Number State | WA
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