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General NPI Number Information
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NPI Number | 1144544990
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Entity Type | Organization
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Legal Business Name | PARY INIGUEZ DENTAL CORPORATION
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 03/23/2010
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Provider Practice Location Address
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Address Line | 16691 YORBA LINDA BLVD
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City | YORBA LINDA
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State | CA
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Zip | 92886-2046
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Country | US
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Telephone | 714-854-9920
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Fax | 714-854-9915
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Provider Business Mailing Address
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Address Line | 16691 YORBA LINDA BLVD
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City | YORBA LINDA
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State | CA
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Zip | 92886-2046
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Country | US
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Telephone | 714-854-9920
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Fax | 714-854-9915
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. SYLVIA ANDRADE
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Credential |
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Telephone | 714-854-9920
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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 | 52732
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License Number State | CA
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