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General NPI Number Information
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NPI Number | 1518821479
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Entity Type | Individual
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Provider Name | GEMA HIGUERA DDS
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 2939 ALTA VIEW DR
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City | SAN DIEGO
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State | CA
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Zip | 92139-3394
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Country | US
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Telephone | 619-267-8772
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Fax |
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Provider Business Mailing Address
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Address Line | 2737 PIKAKE ST
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City | SAN DIEGO
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State | CA
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Zip | 92154-4271
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Country | US
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Telephone | 619-642-6178
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 112427
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License Number State | CA
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