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General NPI Number Information
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NPI Number | 1770098238
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Entity Type | Organization
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Legal Business Name | ALIZA, LLC
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 40740 CALIFORNIA OAKS RD
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City | MURRIETA
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State | CA
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Zip | 92562-5727
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Country | US
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Telephone | 951-600-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 41670 IVY ST STE E
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City | MURRIETA
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State | CA
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Zip | 92562-9433
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Country | US
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Telephone | 951-600-1091
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANDREW THIO
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Credential | MD
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Telephone | 951-283-8078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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