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General NPI Number Information
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NPI Number | 1699845222
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Entity Type | Individual
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Provider Name | MICHAEL JON ALFARO DMD
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 48TH MDG, UNIT 5115, APO, AE 09461
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City | RAF LAKENHEATH
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State | NJ
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Zip | 09461
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Country | US
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Telephone | 783-154-9159
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Fax |
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Provider Business Mailing Address
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Address Line | 48TH MDG UNIT 5115
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City | APO
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State | AE
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Zip | 09461-5115
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Country | US
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Telephone | 210-842-0036
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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 | 63198149921
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License Number State | UT
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