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General NPI Number Information
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NPI Number | 1659583607
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Entity Type | Individual
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Provider Name | KIMBERLY ALVA NP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8635 W 3RD ST SUITE 590W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6101
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Country | US
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Telephone | 310-293-5306
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Fax |
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Provider Business Mailing Address
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Address Line | 9901 VARIEL AVE #1
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City | CHATSWORTH
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State | CA
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Zip | 91311-6728
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 13441
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License Number State | CA
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