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General NPI Number Information
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NPI Number | 1437568565
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Entity Type | Organization
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Legal Business Name | OSCAR G. ALCALDE, D.D.S, APC
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Dates
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Enumeration Date | 08/02/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 10800 PARAMOUNT BLVD SUITE 303
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City | DOWNEY
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State | CA
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Zip | 90241-3331
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Country | US
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Telephone | 562-862-4543
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Fax |
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Provider Business Mailing Address
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Address Line | 10800 PARAMOUNT BLVD SUITE 303
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City | DOWNEY
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State | CA
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Zip | 90241-3331
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Country | US
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Telephone | 562-862-4543
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | OSCAR G ALCALDE
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Credential | DDS
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Telephone | 562-862-4543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 42719
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 42719
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License Number State | CA
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