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General NPI Number Information
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NPI Number | 1407073067
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Entity Type | Organization
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Legal Business Name | ARLINE G. MACARAEG, D.M.D., INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 3500 CALLAN BLVD SUITE 202
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-5168
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Country | US
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Telephone | 650-588-5297
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Fax | 650-588-5295
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Provider Business Mailing Address
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Address Line | 3500 CALLAN BOULEVARD SUITE 202
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080
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Country | US
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Telephone | 650-588-5297
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Fax | 650-588-5295
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARLINE G MACARAEG
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Credential | D.M.D.
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Telephone | 650-588-5297
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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 | 39836
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License Number State | CA
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