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General NPI Number Information
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NPI Number | 1093335598
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Entity Type | Individual
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Provider Name | ALYSSA MIYUKI ARIYOSHI DMD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 1300 S LAMB BLVD STE 400
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City | LAS VEGAS
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State | NV
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Zip | 89104-5540
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Country | US
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Telephone | 702-780-7660
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Fax |
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Provider Business Mailing Address
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Address Line | 3904 SWEET PINE ST UNIT 101
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City | LAS VEGAS
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State | NV
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Zip | 89108-8181
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Country | US
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Telephone | 808-344-7583
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7374
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License Number State | NV
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