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General NPI Number Information
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NPI Number | 1336086172
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Entity Type | Individual
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Provider Name | ALBERTO ALEJANDRO ITURBE CORDERO
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Gender | Male
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 495 WESTERN AVE
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City | BOSTON
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State | MA
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Zip | 02135-1007
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Country | US
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Telephone | 161-720-8165
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Fax |
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Provider Business Mailing Address
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Address Line | 5 JUDITH LN
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City | WALTHAM
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State | MA
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Zip | 02452-7255
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Country | US
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DL101481
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License Number State | MA
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