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General NPI Number Information
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NPI Number | 1588568489
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Entity Type | Individual
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Provider Name | RICA VELUZ
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Gender |
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 1620 E 1ST ST STE 200
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City | BEAUMONT
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State | CA
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Zip | 92223-3174
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Country | US
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Telephone | 951-800-8095
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Fax |
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Provider Business Mailing Address
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Address Line | 26120 WINDSOR DR
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City | LOMA LINDA
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State | CA
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Zip | 92354-4100
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Country | US
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Telephone |
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Fax |
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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 | 113770
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 113770
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License Number State | CA
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