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General NPI Number Information
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NPI Number | 1639372683
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Entity Type | Individual
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Provider Name | CHARLES ERNEST CRIPPS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 22844 VIRGINIA BL.
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City | CALIFORNIA CITY
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State | CA
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Zip | 93505
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Country | US
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Telephone | 760-373-3776
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Fax |
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Provider Business Mailing Address
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Address Line | 9368 GREEN RD
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City | PINON HILLS
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State | CA
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Zip | 92372-9781
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Country | US
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Telephone | 760-868-5262
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Fax | 760-868-5262
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 26370
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License Number State | CA
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