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General NPI Number Information
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NPI Number | 1083448633
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Entity Type | Organization
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Legal Business Name | RODNEY K. PARK, DDS, INC.
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Dates
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Enumeration Date | 08/27/2024
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 6070 HELLYER AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95138-1048
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Country | US
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Telephone | 408-224-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 6070 HELLYER AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95138-1048
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Country | US
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Telephone | 408-224-7878
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BELLA ZARITSKY
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Credential |
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Telephone | 480-590-3396
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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 |
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