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General NPI Number Information
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NPI Number | 1316818776
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Entity Type | Individual
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Provider Name | MAIYULI ALVAREZ DE LA CRUZ RDH
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 7621 SW HIGHWAY 200 UNIT 103
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City | OCALA
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State | FL
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Zip | 34476-7201
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Country | US
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Telephone | 352-401-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 4555 SW 42ND ST
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City | OCALA
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State | FL
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Zip | 34474-9615
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Country | US
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Telephone | 407-684-1658
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 33358
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License Number State | FL
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