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General NPI Number Information
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NPI Number | 1285832121
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Entity Type | Individual
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Provider Name | ALECIA LENTZ DO
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 275 BECK AVE # MS 5-215
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City | FAIRFIELD
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State | CA
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Zip | 94533-6804
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Country | US
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Telephone | 707-784-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 CLUB DRIVE ADMIN & FACULTY 1-ROOM 224
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City | VALLEJO
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State | CA
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Zip | 94592
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Country | US
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Telephone | 724-396-3745
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO3548
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 2471C1101X
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Taxonomy Name | Cardiovascular-Interventional Technology Radiologic Technologist
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License Number | 641841
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2471C1101X
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Taxonomy Name | Cardiovascular-Interventional Technology Radiologic Technologist
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License Number | 13448
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License Number State | AZ
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Taxonomy #4
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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 #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A22972
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License Number State | CA
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