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General NPI Number Information
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NPI Number | 1093026023
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Entity Type | Organization
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Legal Business Name | VALENTINA REDDEN DDS INC
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 111 N EUCLID ST
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City | LA HABRA
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State | CA
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Zip | 90631-4614
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Country | US
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Telephone | 562-697-1229
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Fax | 562-697-5844
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Provider Business Mailing Address
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Address Line | 111 N EUCLID ST
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City | LA HABRA
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State | CA
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Zip | 90631-4614
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Country | US
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Telephone | 562-697-1229
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Fax | 562-697-5844
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Authorized Official
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Title or Position | OWNER
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Name | DR. VALENTINA REDDEN
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Credential | DDS
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Telephone | 562-309-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 54766
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License Number State | CA
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