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General NPI Number Information
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NPI Number | 1710904214
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Entity Type | Individual
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Provider Name | ROSALIA ALLAN MENDOZA MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 3687 MT DIABLO BLVD STE 200
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City | LAFAYETTE
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State | CA
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Zip | 94549-3746
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Country | US
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Telephone | 925-756-3499
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Fax |
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Provider Business Mailing Address
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Address Line | 5140 DIAMOND HEIGHTS BLVD APT 305A
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City | SAN FRANCISCO
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State | CA
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Zip | 94131-1766
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Country | US
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Telephone | 415-401-0109
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Fax | 415-282-2102
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | A87521
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A87521
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License Number State | CA
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