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General NPI Number Information
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NPI Number | 1639513906
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Entity Type | Individual
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Provider Name | LOVE JOY ESTEBAN ROSARIO DDS
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Gender | Female
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 1132 E PLAZA BLVD STE 202
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City | NATIONAL CITY
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State | CA
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Zip | 91950-3559
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Country | US
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Telephone | 619-336-1536
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Fax |
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Provider Business Mailing Address
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Address Line | 1298 WHITAKER AVE
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City | CHULA VISTA
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State | CA
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Zip | 91911-6707
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Country | US
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Telephone | 619-421-1060
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | LN 44074
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License Number State | CA
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