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General NPI Number Information
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NPI Number | 1265201859
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Entity Type | Individual
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Provider Name | RENATO LIMBERTE DR
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Gender | Male
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Dates
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Enumeration Date | 12/25/2023
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Last Update Date | 12/25/2023
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Provider Practice Location Address
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Address Line | 2706 HARBOR BLVD STE C
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City | COSTA MESA
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State | CA
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Zip | 92626-5171
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Country | US
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Telephone | 714-592-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 296 E 15TH ST UNIT B
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City | COSTA MESA
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State | CA
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Zip | 92627-3741
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Country | US
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Telephone | 949-386-4887
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 109210
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License Number State | CA
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