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General NPI Number Information
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NPI Number | 1073183422
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Entity Type | Individual
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Provider Name | LILIANA ALVAREZ MESA
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Gender | Female
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 101 WESTWARD DR
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5211
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Country | US
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Telephone | 305-885-1357
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Fax | 786-431-5691
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Provider Business Mailing Address
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Address Line | 333 S ROYAL POINCIANA BLVD APT 403
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-6130
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Country | US
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Telephone | 305-546-4863
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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 | DN25930
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License Number State | FL
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