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General NPI Number Information
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NPI Number | 1497029755
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Entity Type | Organization
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Legal Business Name | LOREN D ALVES, DMD, PA
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 1954 E HOUSTON ST STE. 210
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City | SAN ANTONIO
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State | TX
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Zip | 78202-2951
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Country | US
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Telephone | 210-208-6525
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Fax | 210-208-6528
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Provider Business Mailing Address
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Address Line | 1954 E HOUSTON ST STE. 210
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City | SAN ANTONIO
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State | TX
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Zip | 78202-2951
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Country | US
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Telephone | 210-208-6525
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Fax | 210-208-6528
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOREN D. ALVES
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Credential | DMD
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Telephone | 210-208-6525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 15284
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License Number State | TX
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