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General NPI Number Information
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NPI Number | 1871949107
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Entity Type | Individual
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Provider Name | ALICIA ESTRELLA DMD
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Gender | Female
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 406 SCIENCE DR STE 402
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City | MADISON
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State | WI
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Zip | 53711-1068
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Country | US
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Telephone | 608-231-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 7490 BROMPTON ST APT 214
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City | HOUSTON
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State | TX
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Zip | 77025-2292
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Country | US
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Telephone | 562-335-8508
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 1001282-15
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License Number State | WI
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