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General NPI Number Information
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NPI Number | 1902586415
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Entity Type | Individual
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Provider Name | ISABELLA TONARELLI DMD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 2575 HAMLINE AVE N STE F
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City | SAINT PAUL
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State | MN
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Zip | 55113-3175
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Country | US
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Telephone | 651-636-2373
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Fax |
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Provider Business Mailing Address
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Address Line | 2775 LEXINGTON AVE N APT 211
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City | ROSEVILLE
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State | MN
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Zip | 55113-2081
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Country | US
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Telephone | 815-641-2760
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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 | D15296
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License Number State | MN
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