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General NPI Number Information
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NPI Number | 1629353255
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Entity Type | Organization
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Legal Business Name | MARIA PAZ S. DAVID,D.M.D.,INC.
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 2300 FIRST ST STE 106
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City | LIVERMORE
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State | CA
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Zip | 94550-3141
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Country | US
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Telephone | 925-337-5531
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Fax | 925-292-7098
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Provider Business Mailing Address
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Address Line | 2300 FIRST ST STE 106
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City | LIVERMORE
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State | CA
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Zip | 94550-3141
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Country | US
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Telephone | 925-337-5531
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Fax | 925-292-7098
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA S DAVID
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Credential | D.M.D.
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Telephone | 925-337-5531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 50453
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License Number State | CA
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