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General NPI Number Information
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NPI Number | 1164818548
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Entity Type | Individual
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Provider Name | ALVIN AQUINO D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2015
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 1040 US HIGHWAY 1 STE 103
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City | AVENEL
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State | NJ
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Zip | 07001-1539
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Country | US
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Telephone | 732-582-4224
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Fax | 732-482-4211
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Provider Business Mailing Address
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Address Line | 88 NIAGARA ST SUITE 3A
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City | TONAWANDA
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State | NY
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Zip | 14150-1104
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Country | US
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Telephone | 716-343-6711
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Fax | 716-343-6710
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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 | 058648
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License Number State | NY
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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 | 058648
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License Number State | NY
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