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General NPI Number Information
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NPI Number | 1841892411
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Entity Type | Individual
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Provider Name | MARIA RICA ALEJANDRO
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Gender | Female
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 15350 NORDHOFF ST
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City | NORTH HILLS
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State | CA
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Zip | 91343-2234
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Country | US
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Telephone | 310-820-9933
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 RIVERSIDE DR APT 211
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City | LOS ANGELES
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State | CA
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Zip | 90039-2371
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Country | US
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Telephone | 323-447-0038
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number | RDA82173
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License Number State | CA
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