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General NPI Number Information
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NPI Number | 1821211822
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Entity Type | Individual
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Provider Name | JOHN ALEXANDER CERVANTES M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 923 OLIVE ST SUITE # 3
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City | SANTA BARBARA
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State | CA
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Zip | 93101-1447
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Country | US
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Telephone | 805-963-2918
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Fax | 805-963-1888
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Provider Business Mailing Address
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Address Line | PO BOX 6429
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City | VENTURA
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State | CA
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Zip | 93006-6429
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Country | US
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Telephone | 805-963-2918
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Fax | 805-963-1888
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G51144
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License Number State | CA
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