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General NPI Number Information
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NPI Number | 1588835334
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Entity Type | Individual
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Provider Name | JUDY LOPEZ MOJICA DDS
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Gender | Female
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 1610 N EL DORADO ST STE. 4
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City | STOCKTON
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State | CA
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Zip | 95204-5930
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Country | US
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Telephone | 209-462-8361
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Fax | 209-462-0262
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Provider Business Mailing Address
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Address Line | 8937 BERGAMO CIR
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City | STOCKTON
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State | CA
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Zip | 95212-3051
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Country | US
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Telephone | 209-478-7785
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 55252
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License Number State | CA
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