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General NPI Number Information
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NPI Number | 1972654879
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Entity Type | Individual
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Provider Name | ALVARO BERRIOS FNP
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/20/2014
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Provider Practice Location Address
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Address Line | 593 E ELDER ST B
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City | FALLBROOK
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State | CA
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Zip | 92028-5000
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Country | US
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Telephone | 760-723-5900
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Fax | 760-723-5906
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Provider Business Mailing Address
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Address Line | 34255 STARPOINT STREET
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City | TEMECULA
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State | CA
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Zip | 92592
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Country | US
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Telephone | 951-858-9221
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Fax | 760-723-5906
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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 | 16355
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License Number State | CA
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