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General NPI Number Information
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NPI Number | 1548583156
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Entity Type | Organization
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Legal Business Name | HOPE FAMILY DENTISTRY, DENTAL OFFICE OF OSCAR A GOCHEZ,
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Dates
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Enumeration Date | 03/10/2010
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Last Update Date | 03/10/2010
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Provider Practice Location Address
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Address Line | 12655 CENTRAL AVE
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City | CHINO
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State | CA
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Zip | 91710-3554
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Country | US
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Telephone | 909-364-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 12655 CENTRAL AVE
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City | CHINO
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State | CA
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Zip | 91710-3554
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MR. OSCAR A. GOCHEZ
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Credential | D.D.S.
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Telephone | 909-364-1222
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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 |
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License Number State |
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