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General NPI Number Information
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NPI Number | 1669389128
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Entity Type | Individual
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Provider Name | ALEJANDRO BUSTOS
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Gender | Male
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 202 W. AVENUE NILE BUILDING
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City | YAKIMA
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State | WA
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Zip | 98902-9856
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Country | US
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Telephone | 509-575-2885
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10205
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City | YAKIMA
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State | WA
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Zip | 98909-1205
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Country | US
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Telephone | 509-426-0942
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | WDL25541J63B
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License Number State | WA
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