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General NPI Number Information
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NPI Number | 1336206895
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Entity Type | Organization
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Legal Business Name | ALINA E LYONS DMD PA
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 806 FARNSWORTH AVENUE
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City | BORDENTOWN
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State | NJ
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Zip | 08505
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Country | US
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Telephone | 609-298-8309
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Fax | 609-298-7002
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Provider Business Mailing Address
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Address Line | 806 FARNSWORTH AVENUE
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City | BORDENTOWN
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State | NJ
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Zip | 08505
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Country | US
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Telephone | 609-298-8309
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Fax | 609-298-7002
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALINA E LYONS
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Credential | DMD
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Telephone | 609-298-8309
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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 | DI17331
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License Number State | NJ
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