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General NPI Number Information
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NPI Number | 1558569871
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Entity Type | Organization
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Legal Business Name | RAUL A. RODRIGUEZ DDS INC.
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Dates
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Enumeration Date | 07/09/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 9358 TELEGRAPH RD
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City | DOWNEY
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State | CA
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Zip | 90240-2425
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Country | US
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Telephone | 562-869-6620
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Fax | 562-904-8129
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Provider Business Mailing Address
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Address Line | 9358 TELEGRAPH RD
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City | DOWNEY
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State | CA
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Zip | 90240-2425
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Country | US
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Telephone | 562-869-6620
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Fax | 562-904-8129
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAUL ALVAREZ RODRIGUEZ
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Credential | DDS
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Telephone | 562-869-6620
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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 | 38357
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License Number State | CA
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