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General NPI Number Information
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NPI Number | 1467633438
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Entity Type | Organization
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Legal Business Name | P. HIRAM RODRIGUEZ D.D.S.
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 8847 IMPERIAL HWY STE J
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City | DOWNEY
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State | CA
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Zip | 90242-3958
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Country | US
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Telephone | 562-904-1100
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Fax | 562-904-3867
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Provider Business Mailing Address
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Address Line | 8847 IMPERIAL HWY STE J
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City | DOWNEY
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State | CA
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Zip | 90242-3958
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Country | US
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Telephone | 562-904-1100
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Fax | 562-904-3867
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DENISSE ALVAREZ
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Credential |
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Telephone | 562-904-1100
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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 | 31113
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License Number State | CA
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