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General NPI Number Information
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NPI Number | 1982969150
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Entity Type | Individual
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Provider Name | DR. ALEJANDRO MARTINEZ ALVARADO
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Gender | Male
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Dates
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Enumeration Date | 07/12/2012
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 4416 RAMSGATE ST STE 202
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City | SAN ANTONIO
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State | TX
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Zip | 78230-1670
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Country | US
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Telephone | 210-690-5555
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Fax | 210-694-5066
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Provider Business Mailing Address
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Address Line | 24506 BIRDIE RDG
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City | SAN ANTONIO
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State | TX
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Zip | 78260-7822
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Country | US
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Telephone | 210-687-6645
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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 | 28145
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License Number State | TX
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