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General NPI Number Information
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NPI Number | 1811057672
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Entity Type | Individual
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Provider Name | MA. YOLANDA ALONZO CABOBOY D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 610 SAN PABLO AVE STE G
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City | PINOLE
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State | CA
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Zip | 94564-2697
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Country | US
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Telephone | 510-734-6362
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Fax |
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Provider Business Mailing Address
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Address Line | 372 FELICE CIR
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City | PINOLE
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State | CA
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Zip | 94564-6210
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Country | US
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Telephone | 510-734-6362
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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 | 50892
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License Number State | CA
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