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General NPI Number Information
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NPI Number | 1861798639
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Entity Type | Organization
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Legal Business Name | ALEJANDRA TAVERAS, DDS, P.C.
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 7300 TOPANGA CANYON BLVD SUITE #6
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City | CANOGA PARK
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State | CA
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Zip | 91303-3333
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Country | US
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Telephone | 818-884-4422
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Fax | 818-884-4773
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Provider Business Mailing Address
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Address Line | 7300 TOPANGA CANYON BLVD SUITE #6
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City | CANOGA PARK
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State | CA
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Zip | 91303-3333
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Country | US
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Telephone | 818-884-4422
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Fax | 818-884-4773
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ALEJANDRA TAVERAS
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Credential |
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Telephone | 818-884-4422
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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 | 58328
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License Number State | CA
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