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General NPI Number Information
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NPI Number | 1609289826
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Entity Type | Organization
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Legal Business Name | ABRAZAR INC.
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 7101 WYOMING ST 7101 WYOMING ST
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City | WESTMINSTER
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State | CA
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Zip | 92683
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Country | US
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Telephone | 714-893-3581
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Fax | 714-893-4819
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Provider Business Mailing Address
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Address Line | 7101 WYOMING ST 7101 WYOMING ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-3811
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Country | US
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Telephone | 714-893-3581
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Fax | 714-893-4819
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Authorized Official
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Title or Position | CEO
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Name | GLORIA O REYES
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Credential |
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Telephone | 714-893-3581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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