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General NPI Number Information
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NPI Number | 1689011637
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Entity Type | Organization
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Legal Business Name | ALTURA CENTERS FOR HEALTH
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 3035 E BARDSLEY AVE
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City | TULARE
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State | CA
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Zip | 93274-6122
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Country | US
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Telephone | 559-686-9097
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Fax | 559-556-0083
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Provider Business Mailing Address
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Address Line | 1134 E CARTMILL AVE
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City | TULARE
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State | CA
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Zip | 93274
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Country | US
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Telephone | 559-686-9097
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Fax | 559-556-0083
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | GRACIELA SOTO PEREZ
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Credential |
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Telephone | 559-685-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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