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General NPI Number Information
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NPI Number | 1194924308
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Entity Type | Individual
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Provider Name | RONALD RAYMOND GARNER DDS
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Gender | Male
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 612 E VISTA WAY
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City | VISTA
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State | CA
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Zip | 92084-5546
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Country | US
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Telephone | 760-724-2113
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 W VISTA WAY STE K
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City | VISTA
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State | CA
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Zip | 92083-6234
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Country | US
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Telephone | 760-724-2113
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Fax | 760-724-2365
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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 | 27520
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS27520
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License Number State | CA
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