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General NPI Number Information
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NPI Number | 1356820658
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Entity Type | Organization
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Legal Business Name | ALIVIRI DENTAL GROUP INC.
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 1295 S LA BREA AVE STE 101
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City | INGLEWOOD
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State | CA
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Zip | 90301-0972
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Country | US
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Telephone | 310-672-0129
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Fax |
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Provider Business Mailing Address
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Address Line | 1295 S LA BREA AVE STE 101
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City | INGLEWOOD
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State | CA
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Zip | 90301-0972
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Country | US
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Telephone | 310-672-0129
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | ALI ALVIRI
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Credential | DDS
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Telephone | 626-367-6740
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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 |
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License Number State |
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