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General NPI Number Information
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NPI Number | 1194244566
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Entity Type | Individual
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Provider Name | HUGO J PARTIDA DDS
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Gender | Male
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Dates
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Enumeration Date | 09/16/2017
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Last Update Date | 09/16/2017
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Provider Practice Location Address
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Address Line | 25395 MADISON AVE STE 103
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City | MURRIETA
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State | CA
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Zip | 92562-9003
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Country | US
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Telephone | 951-239-3597
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Fax |
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Provider Business Mailing Address
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Address Line | 23407 MOUNTAIN SONG LOOP
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City | MURRIETA
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State | CA
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Zip | 92562-5011
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Country | US
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Telephone | 858-568-4266
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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 | 101885
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License Number State | CA
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