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General NPI Number Information
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NPI Number | 1235339169
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Entity Type | Organization
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Legal Business Name | SALUD PARA LA GENTE
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 204 E BEACH STREET
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City | WATSONVILLE
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State | CA
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Zip | 95076
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Country | US
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Telephone | 831-728-0222
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Fax | 831-728-8266
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Provider Business Mailing Address
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Address Line | PO BOX 1750
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City | WATSONVILLE
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State | CA
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Zip | 95076
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Country | US
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Telephone | 831-728-8250
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Fax | 831-728-8266
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. RAMON E PENA
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Credential |
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Telephone | 831-763-3401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State | CA
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