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General NPI Number Information
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NPI Number | 1720040504
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Entity Type | Individual
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Provider Name | EDWARD C ALDERETE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 6200 N LA CHOLLA BLVD
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City | TUCSON
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State | AZ
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Zip | 85741-3529
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Country | US
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Telephone | 520-742-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 E CHURCH ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-5906
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Country | US
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Telephone | 805-739-3358
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Fax | 805-739-3060
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 66241
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD2020-0382
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License Number State | NM
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