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General NPI Number Information
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NPI Number | 1013227438
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Entity Type | Organization
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Legal Business Name | RENE R. ALINGOG, DDS, INC.
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 1040 TIERRA DEL REY SUITE 103
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City | CHULA VISTA
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State | CA
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Zip | 91910-7865
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Country | US
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Telephone | 619-482-1210
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Fax | 619-482-1217
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Provider Business Mailing Address
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Address Line | 1040 TIERRA DEL REY SUITE 103
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City | CHULA VISTA
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State | CA
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Zip | 91910-7865
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Country | US
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Telephone | 619-482-1210
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Fax | 619-482-1217
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Authorized Official
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Title or Position | PRESIDENT
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Name | RENE RICARDO ALINGOG
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Credential | DDS
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Telephone | 619-482-1210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 50202
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License Number State | CA
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