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General NPI Number Information
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NPI Number | 1316015324
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Entity Type | Individual
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Provider Name | ALMA VIVIAN SOSA DDS
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 69 NAGLE AVE STE A
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City | NEW YORK
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State | NY
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Zip | 10040
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Country | US
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Telephone | 212-304-4935
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Fax | 212-309-4436
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Provider Business Mailing Address
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Address Line | 574 WEST 192 ST # 31
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City | NEW YORK
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State | NY
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Zip | 10040
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Country | US
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Telephone | 212-781-8688
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Fax | 212-304-4936
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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 | 046246
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License Number State | NY
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