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General NPI Number Information
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NPI Number | 1487195020
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Entity Type | Individual
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Provider Name | GURY ALVAREZ BATLLE DDS
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Gender | Male
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 09/20/2020
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Provider Practice Location Address
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Address Line | 530 E LOS ANGELES AVE STE 213
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City | MOORPARK
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State | CA
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Zip | 93021-2089
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Country | US
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Telephone | 805-523-0110
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Fax | 805-523-8340
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Provider Business Mailing Address
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Address Line | 530 E LOS ANGELES AVE STE 213
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City | MOORPARK
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State | CA
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Zip | 93021-2089
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Country | US
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Telephone | 805-523-0110
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Fax | 805-523-8340
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 101052
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License Number State | CA
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