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General NPI Number Information
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NPI Number | 1033376470
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Entity Type | Organization
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Legal Business Name | ALANIS DENTAL CENTER, PA
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 109 S 6TH ST
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City | ALAMO
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State | TX
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Zip | 78516-2541
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Country | US
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Telephone | 956-787-3317
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Fax | 956-787-0069
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Provider Business Mailing Address
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Address Line | 109 S 6TH ST
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City | ALAMO
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State | TX
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Zip | 78516-2541
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Country | US
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Telephone | 956-787-3317
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Fax | 956-787-0069
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. IRENE SUZANNE ALANIS
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Credential |
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Telephone | 956-787-3317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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