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General NPI Number Information
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NPI Number | 1649140682
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Entity Type | Individual
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Provider Name | ALENA TRIPADUSH
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Gender | Female
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 8934 VAN MOORE LN
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City | ORANGEVALE
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State | CA
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Zip | 95662-4626
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Country | US
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Telephone | 916-578-9821
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Fax |
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Provider Business Mailing Address
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Address Line | 6676 FOXWOOD CT
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95621-2076
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Country | US
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Telephone | 916-578-9821
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Fax | 916-578-9821
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 342700567
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License Number State | CA
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