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General NPI Number Information
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NPI Number | 1437032364
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Entity Type | Individual
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Provider Name | ALEJANDRO URIBE LUZARDO DDS
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 5406 CONNECTICUT AVE NW STE 102
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City | WASHINGTON
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State | DC
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Zip | 20015-2814
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Country | US
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Telephone | 202-362-3353
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Fax |
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Provider Business Mailing Address
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Address Line | 2214 E LETTS RD
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City | MIDLAND
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State | MI
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Zip | 48642-9484
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Country | US
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Telephone | 989-750-2722
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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 | DEN2001578
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License Number State | DC
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