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General NPI Number Information
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NPI Number | 1417565136
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Entity Type | Individual
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Provider Name | SOPHIA MARIA ALONSO DOWLING DDS
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Gender | Female
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 2300 N 14TH AVE STE 202
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City | DODGE CITY
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State | KS
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Zip | 67801-2367
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Country | US
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Telephone | 660-225-2650
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Fax |
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Provider Business Mailing Address
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Address Line | 12060 115 RD
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City | DODGE CITY
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State | KS
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Zip | 67801-6789
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Country | US
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Telephone | 785-341-7039
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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 | 61631
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License Number State | KS
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