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General NPI Number Information
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NPI Number | 1811477763
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Entity Type | Individual
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Provider Name | CHRIS ELIAS ALTUNIS DDS
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Gender | Male
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 590 E FOOTHILL BLVD
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City | AZUSA
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State | CA
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Zip | 91702-2542
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Country | US
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Telephone | 626-210-1286
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Fax |
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Provider Business Mailing Address
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Address Line | 173 LAS LOMAS RD
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City | DUARTE
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State | CA
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Zip | 91010-3610
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Country | US
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Telephone | 626-357-2150
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS102958
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License Number State | CA
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