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General NPI Number Information
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NPI Number | 1619028305
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Entity Type | Organization
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Legal Business Name | HUBERT J DORION DDS
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 645 EAST AERICK STREET #3
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City | INGLEWOOD
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State | CA
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Zip | 90301-4881
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Country | US
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Telephone | 323-678-4779
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Fax | 310-677-6786
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Provider Business Mailing Address
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Address Line | 645 EAST AERICK STREET #3
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City | INGLEWOOD
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State | CA
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Zip | 90301-4881
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Country | US
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Telephone | 323-678-4779
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Fax | 310-677-6786
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HUBERT J DORION
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Credential | DDS
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Telephone | 323-678-4779
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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 | 15033
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License Number State | CA
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