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General NPI Number Information
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NPI Number | 1801584966
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Entity Type | Individual
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Provider Name | ALEA CATHERINE CAMPOS MSN, FNP, RN
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Gender | Female
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 2023 VALE RD STE 107
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City | SAN PABLO
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State | CA
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Zip | 94806-3891
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Country | US
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Telephone | 510-981-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 512 EL CERRITO PLZ UNIT 211
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City | EL CERRITO
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State | CA
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Zip | 94530-4025
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Country | US
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Telephone | 661-428-1909
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95024162
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License Number State | CA
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