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General NPI Number Information
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NPI Number | 1619049319
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Entity Type | Individual
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Provider Name | JOSE ARENAS PATERNO DDS
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11295 CAMINO RUIZ STE 1
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City | SAN DIEGO
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State | CA
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Zip | 92126-4658
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Country | US
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Telephone | 858-537-9077
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Fax |
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Provider Business Mailing Address
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Address Line | 12475 BRICKELLIA ST
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City | SAN DIEGO
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State | CA
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Zip | 92129-4155
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Country | US
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Telephone | 858-538-0499
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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 | 40108
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License Number State | CA
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