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General NPI Number Information
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NPI Number | 1902618267
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Entity Type | Individual
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Provider Name | STEPHANIE CATHERINE ALVARADO NP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 333 LAWS AVE
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City | UKIAH
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State | CA
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Zip | 95482-6540
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Country | US
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Telephone | 707-468-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 49 N ALBION ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80911-2002
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Country | US
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Telephone | 620-481-7435
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95033829
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95033829
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License Number State | CA
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