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General NPI Number Information
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NPI Number | 1528028552
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Entity Type | Individual
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Provider Name | PAUL D PIERCE D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 2397 FLETCHER PKWY
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City | EL CAJON
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State | CA
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Zip | 92020-2134
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Country | US
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Telephone | 619-461-8080
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Fax | 619-461-8082
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Provider Business Mailing Address
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Address Line | 13280 GUNNER AVE
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City | SAN DIEGO
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State | CA
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Zip | 92129-2319
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Country | US
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Telephone | 858-484-6186
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Fax | 858-484-3294
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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 | 36599
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License Number State | CA
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