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General NPI Number Information
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NPI Number | 1013832468
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Entity Type | Individual
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Provider Name | MARIA REBECA ALVARADO MENDOZA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 5761 S US HWY 17 92 SUITES 1001 & 1005, CASSELBERRY, FL
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City | CASSELBERRY
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State | FL
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Zip | 32707
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Country | US
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Telephone | 407-670-0557
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Fax |
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Provider Business Mailing Address
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Address Line | 7768 CLOVE HITCH WAY
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City | ORLANDO
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State | FL
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Zip | 32832-3000
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Country | US
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Telephone | 425-436-9442
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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 | 32415
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License Number State | FL
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