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General NPI Number Information
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NPI Number | 1124416425
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Entity Type | Individual
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Provider Name | BRENDA CRISTINA SANCHEZ CASILLAS DDS
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Gender | Female
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 3744 PIER WALK
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City | OXNARD
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State | CA
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Zip | 93035-1634
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Country | US
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Telephone | 805-469-3699
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Fax |
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Provider Business Mailing Address
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Address Line | 3744 PIER WALK
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City | OXNARD
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State | CA
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Zip | 93035-1634
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Country | US
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Telephone | 805-469-3699
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Fax |
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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 | 111248
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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 | 449
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License Number State | CA
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