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NPI 1699254060

NPI 1699254060 : ALESSANDRA ALTAMIRANO DIEPLINGER DDS : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1699254060
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    Entity Type          |    Individual 
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    Provider Name        |    ALESSANDRA ALTAMIRANO DIEPLINGER DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/07/2018
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    Last Update Date     |    08/07/2018
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Provider Practice Location Address
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    Address Line         |    1563 MISSION ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94103-2543
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    Country              |    US
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    Telephone            |    415-213-1725
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    700 LAWTON ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94122-3540
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    Country              |    US
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    Telephone            |    714-337-8118
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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       |    103034
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    License Number State |    CA
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