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General NPI Number Information
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NPI Number | 1437482395
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Entity Type | Individual
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Provider Name | RUXANDRA PREDA DDS
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Gender | Female
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Dates
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Enumeration Date | 09/10/2009
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 2300 S HARBOR BLVD
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City | ANAHEIM
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State | CA
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Zip | 92802-3518
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Country | US
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Telephone | 714-750-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 27662 ALISO CREEK RD APT 2205
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3882
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Country | US
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Telephone |
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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 | 55217
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License Number State | CA
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