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General NPI Number Information
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NPI Number | 1609133479
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Entity Type | Organization
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Legal Business Name | LORI ROSS TIJERINO DDS INC.
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2620 FIRST STREET
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City | LIVERMORE
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State | CA
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Zip | 94550
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Country | US
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Telephone | 925-940-7770
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Fax | 925-447-9308
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Provider Business Mailing Address
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Address Line | 2620 FIRST ST
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City | LIVERMORE
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State | CA
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Zip | 94550-2010
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Country | US
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Telephone | 925-940-7770
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Fax | 925-447-9308
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Authorized Official
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Title or Position | OWNER/CEO
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Name | LORI ANN ROSS TIJERINO
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Credential |
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Telephone | 925-940-7770
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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 | 54031
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License Number State | CA
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