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General NPI Number Information
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NPI Number | 1053224279
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Entity Type | Organization
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Legal Business Name | MARA J ZARAGOZA PEREZ
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 3975 CAMINO DE LA PLZ STE 208
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City | SAN YSIDRO
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State | CA
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Zip | 92173-5919
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Country | US
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Telephone | 562-352-0417
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Fax | 562-366-0560
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Provider Business Mailing Address
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Address Line | TORRE NORTE 2 FRAY SERVANDO TERESA DE MIER 1351 - 207
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City | TIJUANA
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State | BAJA CALIFORNIA
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Zip | 22010
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Country | MX
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Telephone |
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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. MARA J ZARAGOZA PEREZ
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Credential | DDS
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Telephone | 562-352-0417
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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 |
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License Number State | NULL
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