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General NPI Number Information
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NPI Number | 1235301730
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Entity Type | Organization
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Legal Business Name | BERNADETTE L. GUARING-BAGAY DDS, INC.
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 984 E BADILLO ST E
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City | COVINA
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State | CA
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Zip | 91724-2900
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Country | US
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Telephone | 626-859-5715
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Fax | 626-859-5717
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Provider Business Mailing Address
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Address Line | 984 E BADILLO ST E
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City | COVINA
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State | CA
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Zip | 91724-2900
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Country | US
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Telephone | 626-859-5715
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Fax | 626-859-5717
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. BERNADETTE LUYUN GUARING-BAGAY
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Credential | DDS
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Telephone | 626-859-5715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 44482
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License Number State | CA
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