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General NPI Number Information
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NPI Number | 1437033115
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Entity Type | Individual
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Provider Name | LETICIA G ALVAREZ DDS
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | AVENIDA MADERO Y CALLE 15
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City | SAN LUIS RIO COLORADO
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State | SONORA
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Zip | 83448
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Country | MX
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Telephone | 928-509-1279
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Fax |
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Provider Business Mailing Address
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Address Line | 870 W 34TH ST
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City | YUMA
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State | AZ
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Zip | 85365-4372
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Country | US
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Telephone | 928-509-1279
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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 | 3682991
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License Number State | ZZ
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