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NPI 1245264274

NPI 1245264274 : ANTHONY TARANGO DDS, INC. : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1245264274
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANTHONY TARANGO DDS, INC. 
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Dates
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    Enumeration Date     |    07/10/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    4698 AMERICAN AVE SUITE B
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-4007
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    Country              |    US
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    Telephone            |    661-834-5660
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4698 AMERICAN AVE SUITE B
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-4007
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    Country              |    US
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    Telephone            |    661-834-5660
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ANTHONY  TARANGO 
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    Credential           |    DDS
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    Telephone            |    661-834-5660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    19174
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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       |    45985
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    19536
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    License Number State |    CA
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