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General NPI Number Information
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NPI Number | 1144473612
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Entity Type | Individual
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Provider Name | ALETHEA CARALCANTE COELHO DDS
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 1025 N DOUTY ST
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City | HANFORD
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State | CA
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Zip | 93230-3722
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Country | US
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Telephone | 559-537-0220
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Fax | 559-537-0222
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Provider Business Mailing Address
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Address Line | 1025 N DOUTY ST
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City | HANFORD
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State | CA
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Zip | 93230-3722
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Country | US
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Telephone | 559-537-0220
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Fax | 559-537-0222
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 57361
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 57361
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License Number State | CA
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