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General NPI Number Information
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NPI Number | 1093785685
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Entity Type | Individual
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Provider Name | JOSE GARCIA JIMENEZ RDHAP
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 12/26/2008
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Provider Practice Location Address
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Address Line | 31835 CORTE SAN PABLO
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City | WINCHESTER
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State | CA
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Zip | 92596
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Country | US
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Telephone | 951-375-7495
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Fax | 951-526-2423
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Provider Business Mailing Address
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Address Line | 31835 CORTE SAN PABLO
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City | WINCHESTER
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State | CA
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Zip | 92596
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Country | US
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Telephone | 951-375-7495
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Fax | 951-526-2423
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 22341
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 225
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License Number State | CA
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