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General NPI Number Information
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NPI Number | 1730743550
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Entity Type | Individual
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Provider Name | DANIELA ALVAREZ DMD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2019
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 855 JUNIPER ST NE
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City | ATLANTA
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State | GA
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Zip | 30308-1364
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Country | US
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Telephone | 239-216-7073
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Fax |
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Provider Business Mailing Address
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Address Line | 1076 LIBERTY PKWY NW
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City | ATLANTA
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State | GA
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Zip | 30318-9376
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Country | US
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Telephone | 239-216-7073
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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 | DN24670
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN122848
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019032323
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License Number State | IL
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