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General NPI Number Information
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NPI Number | 1124987516
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Entity Type | Individual
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Provider Name | GINA DELIA ROQUE TORRES DDS
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Gender | Female
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 11175 CAMPUS ST
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City | LOMA LINDA
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State | CA
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Zip | 92350-1700
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Country | US
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Telephone | 909-558-5933
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Fax |
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Provider Business Mailing Address
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Address Line | 11175 CAMPUS ST
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City | LOMA LINDA
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State | CA
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Zip | 92350-1700
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Country | US
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Telephone | 909-558-5933
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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 | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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