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General NPI Number Information
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NPI Number | 1528284106
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Entity Type | Individual
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Provider Name | A.. LANOY ALSTON D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 1160 N PANTANO RD
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City | TUCSON
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State | AZ
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Zip | 85715-5126
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Country | US
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Telephone | 520-886-8503
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Fax | 520-885-6660
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Provider Business Mailing Address
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Address Line | 1160 N PANTANO RD
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City | TUCSON
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State | AZ
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Zip | 85715-5126
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Country | US
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Telephone | 520-886-8503
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Fax | 520-885-6660
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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 | 2263
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License Number State | AZ
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