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General NPI Number Information
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NPI Number | 1073540357
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Entity Type | Individual
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Provider Name | RICARDO JOSE PADILLA DDS
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 3040 MANNING DRIVE OLD DENTAL BUILDING CB 7450
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City | CHAPEL HILL
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State | NC
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Zip | 27599-7450
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Country | US
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Telephone | 919-966-2751
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Fax | 919-843-6508
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Provider Business Mailing Address
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Address Line | UNC ADAMS SCHOOL OF DENTISTRY CB #7450
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City | CHAPEL HILL
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State | NC
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Zip | 27599-0001
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Country | US
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Telephone | 919-537-3152
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Fax | 919-843-6508
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 12533
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License Number State | NC
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