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General NPI Number Information
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NPI Number | 1316942196
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Entity Type | Individual
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Provider Name | JOCELYN PEREY REYES DMD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 2161 E. PROSPERITY AVE
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City | TULARE
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State | CA
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Zip | 93274
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Country | US
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Telephone | 559-358-3911
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Fax | 559-741-9923
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Provider Business Mailing Address
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Address Line | 3612 W OAKRIDGE AVE
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City | VISALIA
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State | CA
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Zip | 93291
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Country | US
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Telephone | 469-837-5343
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Fax | 559-734-7148
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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 | 50954
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 50954
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License Number State | CA
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