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General NPI Number Information
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NPI Number | 1912650060
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Entity Type | Individual
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Provider Name | ALFRED GALLEGOS
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Gender | Male
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Dates
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Enumeration Date | 01/29/2022
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 560 S C ST
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City | OXNARD
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State | CA
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Zip | 93030-7002
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Country | US
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Telephone | 805-295-8548
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Fax |
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Provider Business Mailing Address
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Address Line | 560 S C ST
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City | OXNARD
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State | CA
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Zip | 93030-7002
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Country | US
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Telephone | 805-295-8548
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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 | 132700000X
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Taxonomy Name | Dietary Manager
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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