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General NPI Number Information
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NPI Number | 1780078246
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Entity Type | Individual
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Provider Name | ALEJANDRO IBARRA MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 12/01/2025
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Provider Practice Location 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 | 805-739-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 LONGVIEW AVE
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City | PISMO BEACH
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State | CA
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Zip | 93449-2433
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Country | US
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Telephone | 702-750-7337
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A161854
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License Number State | CA
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