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General NPI Number Information
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NPI Number | 1629246491
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Entity Type | Individual
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Provider Name | DALE DENIO D,D.S., M.S.
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Gender | Male
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 12750 CARMEL COUNTRY RD SUITE 201
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City | SAN DIEGO
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State | CA
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Zip | 92130-2159
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Country | US
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Telephone | 858-792-8201
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Fax | 858-792-5163
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Provider Business Mailing Address
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Address Line | 12750 CARMEL COUNTRY ROAD SUITE 201
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City | SAN DIEGO
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State | CA
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Zip | 92130-2171
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Country | US
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Telephone | 858-792-8201
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Fax | 858-792-5163
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 34833
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License Number State | CA
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