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General NPI Number Information
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NPI Number | 1568408714
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Entity Type | Individual
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Provider Name | ERNEST JOHN BARON III DDS
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 550 WATER ST. BLDG. L-1
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City | SANTA CRUZ
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State | CA
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Zip | 95060
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Country | US
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Telephone | 831-426-9200
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Fax | 831-426-9275
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Provider Business Mailing Address
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Address Line | 550 WATER ST BLDG. L-1
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City | SANTA CRUZ
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State | CA
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Zip | 95060-4124
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Country | US
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Telephone | 831-426-9200
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Fax | 831-426-9275
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 37627
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License Number State | CA
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