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General NPI Number Information
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NPI Number | 1982995403
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Entity Type | Individual
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Provider Name | ALEJANDRO DIAZ JR.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 719 W HENRY ST
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City | PASCO
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State | WA
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Zip | 99301-4117
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Country | US
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Telephone | 509-308-4825
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4695 719 W. HENRY ST.
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City | PASCO
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State | WA
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Zip | 99302-4695
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Country | US
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Telephone | 509-308-4825
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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 | 171R00000X
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Taxonomy Name | Interpreter
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License Number | MC10659
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License Number State | WA
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