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General NPI Number Information
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NPI Number | 1053507996
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Entity Type | Individual
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Provider Name | ALEJANDRA VILLADA DDS
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Gender | Female
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 8939 WOODMAN AVENUE #1
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City | ARLETA
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State | CA
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Zip | 91331
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Country | US
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Telephone | 818-920-2215
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Fax | 818-920-0180
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Provider Business Mailing Address
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Address Line | 17493 W HONEY MAPLE ST
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City | FAIR OAKS RANCH
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State | CA
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Zip | 91387
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Country | US
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Telephone | 818-399-2269
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Fax | 818-920-0180
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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 | 56105
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License Number State | CA
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