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General NPI Number Information
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NPI Number | 1699627158
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Entity Type | Individual
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Provider Name | TERSA ALONZO
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Gender | Female
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1317 DEL NORTE RD STE 100
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City | CAMARILLO
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State | CA
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Zip | 93010-8363
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Country | US
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Telephone | 805-485-2000
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Fax | 805-351-0869
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Provider Business Mailing Address
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Address Line | 1317 DEL NORTE RD STE 100
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City | CAMARILLO
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State | CA
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Zip | 93010-8363
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Country | US
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Telephone | 805-485-2000
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Fax | 805-351-0869
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 9782
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License Number State | CA
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