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General NPI Number Information
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NPI Number | 1073727780
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Entity Type | Individual
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Provider Name | MARIA CHUAPOCO DE LOS REYES DDS
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 170 KING ST STE 105 SUITE C
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-4914
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Country | US
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Telephone | 415-347-3817
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Fax | 888-343-3817
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Provider Business Mailing Address
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Address Line | 160 SONOMA CT
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City | SAN BRUNO
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State | CA
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Zip | 94066-2552
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Country | US
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Telephone | 408-239-9200
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Fax | 888-343-3817
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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 | 37643
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License Number State | CA
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