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General NPI Number Information
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NPI Number | 1295513356
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Entity Type | Individual
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Provider Name | CYNTHIA RANGEL DDS
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 12301 WILSHIRE BLVD STE 405
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City | LOS ANGELES
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State | CA
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Zip | 90025-1007
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Country | US
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Telephone | 424-325-3244
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 INGRAHAM ST APT 110
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City | LOS ANGELES
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State | CA
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Zip | 90017-2326
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Country | US
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Telephone | 805-757-7897
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 109379
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License Number State | CA
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