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NPI 1558814509

NPI 1558814509 : DANIELA ALEJANDRA AUERBACH JIMENEZ DDS : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1558814509
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    Entity Type          |    Individual 
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    Provider Name        |    DANIELA ALEJANDRA AUERBACH JIMENEZ DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2016
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    Last Update Date     |    03/09/2020
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Provider Practice Location Address
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    Address Line         |    9001 S H ST 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93307-5948
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    Country              |    US
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    Telephone            |    661-328-4289
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    Fax                  |    661-617-2882
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1559 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93302-1559
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    Country              |    US
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    Telephone            |    661-635-3050
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    Fax                  |    661-635-3070
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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       |    100473
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    License Number State |    CA
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