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General NPI Number Information
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NPI Number | 1003000175
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Entity Type | Individual
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Provider Name | BELINDA REYES-VASQUEZ D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 322 N AZUSA AVE STE 202
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City | LA PUENTE
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State | CA
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Zip | 91744-4648
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Country | US
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Telephone | 626-581-0800
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Fax | 626-581-0591
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Provider Business Mailing Address
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Address Line | 4727 SILVER TIP DR
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City | WHITTIER
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State | CA
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Zip | 90601-1763
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Country | US
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Telephone | 626-378-5315
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 56153
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License Number State | CA
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