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General NPI Number Information
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NPI Number | 1861371593
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Entity Type | Individual
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Provider Name | MELISSA MAE ARMULLAS ALVARO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 23451 MADISON ST STE 290
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City | TORRANCE
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State | CA
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Zip | 90505-4737
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Country | US
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Telephone | 310-375-1246
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Fax |
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Provider Business Mailing Address
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Address Line | 1713 PATRICIA PL
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City | CORONA
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State | CA
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Zip | 92878-3611
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Country | US
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Telephone | 904-534-9383
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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 | 95034650
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License Number State | CA
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