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General NPI Number Information
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NPI Number | 1689524456
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Entity Type | Individual
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Provider Name | ALAN FABRICIO REYES MD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | REVOLUCION 910 COLONIA RESIDENCIAS
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City | SAN LUIS RIO COLORADO
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State | SONORA
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Zip | 83450
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Country | MX
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1778
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City | SOMERTON
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State | AZ
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Zip | 85350
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Country | US
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Telephone | 928-398-9591
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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