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General NPI Number Information
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NPI Number | 1962380840
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Entity Type | Individual
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Provider Name | EILEEN ALICIA CORTEZ
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Gender | Female
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 100 OLD RIVER RD STE 150
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City | BAKERSFIELD
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State | CA
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Zip | 93311-8334
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Country | US
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Telephone | 661-855-7455
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Fax |
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Provider Business Mailing Address
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Address Line | 105 JONES ST
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2008
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Country | US
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Telephone | 661-900-9860
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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