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General NPI Number Information
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NPI Number | 1558982934
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Entity Type | Individual
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Provider Name | ALAINA DANIELLE ZAVLANOV D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 5645 MAIN ST
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City | FLUSHING
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State | NY
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Zip | 11355-5045
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Country | US
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Telephone | 718-670-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 9001 63RD AVE
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City | REGO PARK
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State | NY
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Zip | 11374-2837
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Country | US
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Telephone | 773-656-6749
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 062064
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License Number State | NY
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Taxonomy #2
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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 #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 062064
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License Number State | NY
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