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General NPI Number Information
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NPI Number | 1003005091
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Entity Type | Organization
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Legal Business Name | JOSEPH JETT F. ZAPANTA, DDS.INC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 722 W WILLOW ST
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City | LONG BEACH
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State | CA
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Zip | 90806-2835
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Country | US
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Telephone | 562-595-4277
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6006
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City | LONG BEACH
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State | CA
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Zip | 90806-0006
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Country | US
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Telephone | 562-595-4277
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JOSEPH JETT FERNANDEZ ZAPANTA
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Credential | D.M.D
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Telephone | 562-595-4277
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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 | 035048
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License Number State | CA
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