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General NPI Number Information
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NPI Number | 1134828627
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Entity Type | Organization
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Legal Business Name | MARIFLOR DUHAY DDS A DENTAL CORPORATION
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 9625 BLACK MOUNTAIN RD STE 315D
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City | SAN DIEGO
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State | CA
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Zip | 92126-4564
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Country | US
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Telephone | 619-422-6121
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Fax |
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Provider Business Mailing Address
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Address Line | 9625 BLACK MOUNTAIN RD STE 315D
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City | SAN DIEGO
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State | CA
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Zip | 92126-4564
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Country | US
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Telephone | 619-422-6121
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MARIFLOR DUHAY
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Credential |
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Telephone | 619-254-1119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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