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General NPI Number Information
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NPI Number | 1962056176
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Entity Type | Organization
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Legal Business Name | CYNTHIA ALEGRE PS
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 15301 MAPLE VALLEY HWY STE 100
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City | RENTON
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State | WA
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Zip | 98058-8128
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Country | US
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Telephone | 425-523-4179
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Fax | 425-529-9686
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Provider Business Mailing Address
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Address Line | 15301 MAPLE VALLEY HWY STE 100
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City | RENTON
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State | WA
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Zip | 98058-8128
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Country | US
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Telephone | 425-523-4179
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Fax | 425-529-9686
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Authorized Official
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Title or Position | OWNER/PEDIATRIC DENTIST
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Name | CYNTHIA ALEGRE
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Credential |
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Telephone | 425-523-4179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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