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General NPI Number Information
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NPI Number | 1316887466
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Entity Type | Individual
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Provider Name | ISAAC ALBERTO DONAS
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Gender | Male
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | AV SANTA MARIA CALETE
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City | TIJUANA
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State | MEXICO
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Zip | 22044
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Country | MX
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | AV SANTA MARIA CALETE
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City | TIJUANA
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State | MEXICO
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Zip | 22044
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Country | MX
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Telephone |
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 14811015
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License Number State | CA
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