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General NPI Number Information
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NPI Number | 1548350838
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Entity Type | Organization
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Legal Business Name | OLIVIA B. MAGNO, DMD, INC.
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Dates
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Enumeration Date | 10/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 33378 ALVARADO NILES RD
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City | UNION CITY
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State | CA
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Zip | 94587-3199
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Country | US
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Telephone | 510-487-3912
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Fax | 510-487-6566
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Provider Business Mailing Address
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Address Line | 33378 ALVARADO NILES RD
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City | UNION CITY
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State | CA
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Zip | 94587-3199
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Country | US
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Telephone | 510-487-3912
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Fax | 510-487-6566
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. OLIVIA B MAGNO
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Credential | DDS
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Telephone | 510-487-3912
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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 | 37447
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License Number State | CA
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