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General NPI Number Information
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NPI Number | 1578743456
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Entity Type | Organization
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Legal Business Name | GREGGORY P. GECHOFF, DDS, MS, APC
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 8770 CUYAMACA ST SUITE 5
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City | SANTEE
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State | CA
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Zip | 92071-4373
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Country | US
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Telephone | 619-448-1611
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Fax | 619-448-4630
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Provider Business Mailing Address
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Address Line | 8770 CUYAMACA ST SUITE 5
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City | SANTEE
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State | CA
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Zip | 92071-4373
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Country | US
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Telephone | 619-448-1611
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Fax | 619-448-4630
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Authorized Official
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Title or Position | OWNER
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Name | MR. GREGGORY P. GECHOFF
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Credential | DDS, MS, APC
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Telephone | 619-448-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 20981
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 44479
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License Number State | CA
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