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General NPI Number Information
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NPI Number | 1568573954
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Entity Type | Organization
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Legal Business Name | GEORGE C JARED D D S INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 13465 CAMINO CANADA STE 110-A
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City | EL CAJON
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State | CA
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Zip | 92021-8813
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Country | US
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Telephone | 619-390-3669
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Fax | 619-390-3328
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Provider Business Mailing Address
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Address Line | 13465 CAMINO CANADA STE 110-A
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City | EL CAJON
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State | CA
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Zip | 92021-8813
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Country | US
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Telephone | 619-390-3669
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Fax | 619-390-3328
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. GEORGE C. JARED
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Credential | D.D.S.
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Telephone | 619-390-3669
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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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