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General NPI Number Information
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NPI Number | 1467534362
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Entity Type | Individual
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Provider Name | ZENAIDA PILAR LIRAG STAANA DDS
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 35201 NEWARK BLVD STE E
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City | NEWARK
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State | CA
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Zip | 94560-1229
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Country | US
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Telephone | 510-792-6396
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 RANDALL WAY
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City | HAYWARD
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State | CA
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Zip | 94541-4425
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Country | US
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Telephone | 510-366-4807
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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 | 54707
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License Number State | CA
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