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General NPI Number Information
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NPI Number | 1275216202
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Entity Type | Individual
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Provider Name | AMANDA MARIE ALVARADO DENTON
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Gender | Female
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Dates
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Enumeration Date | 08/08/2023
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 6301 3RD ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94124-3501
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Country | US
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Telephone | 415-339-8813
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Fax | 415-339-8814
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Provider Business Mailing Address
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Address Line | 335 SEQUOIA AVE
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City | REDWOOD CITY
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State | CA
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Zip | 94061-3426
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Country | US
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Telephone | 661-808-3380
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA63111
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License Number State | CA
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