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General NPI Number Information
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NPI Number | 1215168588
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Entity Type | Organization
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Legal Business Name | R.E. MAYER, D.D.S., P.C.
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 08/04/2009
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Provider Practice Location Address
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Address Line | 15141 E. WHITTIER BLVD. SUITE 255
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City | WHITTIER
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State | CA
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Zip | 90603
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Country | US
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Telephone | 562-693-4171
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Fax | 562-698-7827
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Provider Business Mailing Address
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Address Line | 15141 E. WHITTIER BLVD. SUITE 255
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City | WHITTIER
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State | CA
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Zip | 90603
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Country | US
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Telephone | 562-693-4171
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Fax | 562-698-7827
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Authorized Official
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Title or Position | OWNER
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Name | DR. RUDOLF E. MAYER
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Credential | D.D.S.
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Telephone | 562-693-4171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D31324
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License Number State | CA
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