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General NPI Number Information
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NPI Number | 1861633901
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Entity Type | Individual
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Provider Name | ALYSSA KATHLEEN BURTON M.P.A., PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 57675 29 PALMS HWY SUITE 111
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-3098
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Country | US
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Telephone | 760-365-8500
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Fax | 760-365-8599
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Provider Business Mailing Address
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Address Line | 9291 NAVAJO TRL
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City | MORONGO VALLEY
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State | CA
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Zip | 92256-9228
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Country | US
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Telephone | 760-902-6200
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA21830
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License Number State | CA
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