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General NPI Number Information
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NPI Number | 1003489584
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Entity Type | Individual
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Provider Name | ALAINA JO CALABRESE DDS
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Gender | Female
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Dates
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Enumeration Date | 07/21/2021
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 4100 NE VIVION RD
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City | KANSAS CITY
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State | MO
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Zip | 64119-2811
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Country | US
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Telephone | 816-420-9070
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Fax |
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Provider Business Mailing Address
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Address Line | 4515 NE 63RD TER APT SUITE
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City | KANSAS CITY
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State | MO
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Zip | 64119-4726
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Country | US
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Telephone | 816-726-3513
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2021022219
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License Number State | MO
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