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General NPI Number Information
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NPI Number | 1508433483
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Entity Type | Individual
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Provider Name | ALLEGRA TAO SHING NOTTOLI DDS
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Gender | Female
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 23101 SHERMAN PL STE 201
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City | WEST HILLS
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State | CA
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Zip | 91307-2019
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Country | US
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Telephone | 818-716-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 107 TREADWELL ST
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City | HAMDEN
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State | CT
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Zip | 06517-2342
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Country | US
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Telephone | 203-499-7787
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DDS111355
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License Number State | CA
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