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General NPI Number Information
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NPI Number | 1851057715
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Entity Type | Organization
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Legal Business Name | ALIGN MEDICINE INC
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1260 E ARROW HWY
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City | UPLAND
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State | CA
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Zip | 91786-4982
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Country | US
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Telephone | 909-579-0243
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2698
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City | CHINO HILLS
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State | CA
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Zip | 91709-0090
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Country | US
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Telephone | 909-227-0750
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN DALIVA
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Credential | DO
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Telephone | 909-227-0750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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