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General NPI Number Information
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NPI Number | 1770542581
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Entity Type | Individual
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Provider Name | EDDIE FERNANDO FIGUEROALOPEZ IDC
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1907 E 15TH STREET
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City | LONG BEACH
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State | CA
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Zip | 90813
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Country | US
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Telephone | 562-218-0356
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 466 BOX 3
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City | DIEGO GARCIA
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State | BRITISH INDIAN OCEAN TERRITORY
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Zip | FPO AP 965950003
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Country | IO
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Telephone | 0112463704211
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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 | 1710I1002X
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Taxonomy Name | Independent Duty Corpsman
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License Number |
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License Number State |
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