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General NPI Number Information
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NPI Number | 1265310676
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Entity Type | Individual
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Provider Name | DANIEL CARDENAS DDS
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Gender | Male
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1220 LA MESA ST # A
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City | ESCALON
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State | CA
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Zip | 95320-1688
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Country | US
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Telephone | 209-838-7191
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Fax |
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Provider Business Mailing Address
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Address Line | 27921 POMPANO AVE
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City | HAYWARD
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State | CA
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Zip | 94544-5066
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Country | US
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Telephone | 510-460-5645
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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 | 111827
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License Number State | CA
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