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General NPI Number Information
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NPI Number | 1689041808
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Entity Type | Individual
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Provider Name | IVY ALCALA DANO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 110 E SAVANNAH AVE STE 203
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City | MCALLEN
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State | TX
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Zip | 78503
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Country | US
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Telephone | 956-686-7611
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Fax | 956-618-3146
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Provider Business Mailing Address
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Address Line | PO BOX 720085
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City | MCALLEN
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State | TX
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Zip | 78504-0085
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Country | US
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Telephone | 956-227-5715
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Fax | 956-630-0472
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP128771
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License Number State | TX
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