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General NPI Number Information
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NPI Number | 1275740722
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Entity Type | Individual
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Provider Name | SANDRA JUDY SARMIENTO DDS
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1701 N MAIN ST SUITE 100
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City | SANTA ANA
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State | CA
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Zip | 92706-2745
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Country | US
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Telephone | 714-667-0367
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Fax | 714-667-0360
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Provider Business Mailing Address
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Address Line | 37 ARNOLD WAY
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City | IRVINE
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State | CA
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Zip | 92602-0748
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Country | US
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Telephone | 714-731-5026
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Fax | 714-667-0360
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 51648
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License Number State | CA
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