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General NPI Number Information
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NPI Number | 1538958079
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Entity Type | Organization
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Legal Business Name | MJ PALAU DDS INC.
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 125 E BARSTOW AVE STE 122
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City | FRESNO
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State | CA
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Zip | 93710-5023
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Country | US
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Telephone | 559-229-6249
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Fax | 559-369-7176
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Provider Business Mailing Address
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Address Line | 125 E BARSTOW AVE STE 122
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City | FRESNO
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State | CA
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Zip | 93710-5023
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Country | US
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Telephone | 559-229-6249
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Fax | 559-369-7176
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Authorized Official
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Title or Position | DENTIST
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Name | MANUEL JOSE PALAU
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Credential | DDS
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Telephone | 559-224-5703
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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 |
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License Number State |
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