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General NPI Number Information
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NPI Number | 1750627592
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Entity Type | Organization
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Legal Business Name | ALENA NAWROCKI, DDS INC.
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 12/26/2012
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Provider Practice Location Address
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Address Line | 707 ARNELE AVE
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City | EL CAJON
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State | CA
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Zip | 92020-2501
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Country | US
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Telephone | 619-444-1001
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Fax | 619-588-8022
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Provider Business Mailing Address
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Address Line | 707 ARNELE AVE
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City | EL CAJON
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State | CA
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Zip | 92020-2501
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Country | US
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Telephone | 619-444-1001
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Fax | 619-588-8022
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALENA NAWROCKI
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Credential | DDS
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Telephone | 619-444-1001
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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 | D56626
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License Number State | CA
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