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General NPI Number Information
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NPI Number | 1093428195
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Entity Type | Organization
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Legal Business Name | REGGIE OROZCO DDS PLLC
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Dates
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Enumeration Date | 01/04/2023
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 9221 SANDIFUR PKWY STE B
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City | PASCO
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State | WA
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Zip | 99301-9241
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Country | US
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Telephone | 509-547-0730
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Fax |
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Provider Business Mailing Address
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Address Line | 812 ROAD 62
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City | PASCO
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State | WA
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Zip | 99301-2165
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Country | US
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Telephone | 509-521-1637
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | REGGIE OROZCO
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Credential | DDS
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Telephone | 509-521-1637
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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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