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General NPI Number Information
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NPI Number | 1326043662
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Entity Type | Individual
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Provider Name | ROGER RAMIREZ CEDILLO D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 8036 PAINTER AVE
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City | WHITTIER
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State | CA
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Zip | 90602-2507
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Country | US
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Telephone | 562-907-2645
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Fax |
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Provider Business Mailing Address
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Address Line | 8036 PAINTER AVE
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City | WHITTIER
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State | CA
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Zip | 90602-2507
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Country | US
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Telephone | 562-907-2645
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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 | 42285
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License Number State | CA
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