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General NPI Number Information
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NPI Number | 1598635914
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Entity Type | Organization
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Legal Business Name | HALABO DENTAL PC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 333 H ST STE 1015
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City | CHULA VISTA
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State | CA
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Zip | 91910-5556
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Country | US
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Telephone | 619-420-2231
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Fax |
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Provider Business Mailing Address
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Address Line | 333 H ST STE 1015
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City | CHULA VISTA
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State | CA
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Zip | 91910-5556
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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 | OWNER DENTIST
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Name | SEAN H HALABO
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Credential | DDS
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Telephone | 619-246-0007
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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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