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General NPI Number Information
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NPI Number | 1649458779
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Entity Type | Individual
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Provider Name | MARISSA ZAPANTA RAMIREZ D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 2830 PINOLE VALLEY RD STE A
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City | PINOLE
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State | CA
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Zip | 94564-1453
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Country | US
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Telephone | 707-853-9773
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Fax |
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Provider Business Mailing Address
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Address Line | 63 INDEPENDENCE DR
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City | AMERICAN CANYON
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State | CA
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Zip | 94503-1284
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Country | US
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Telephone | 707-853-9773
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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 | 57446
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License Number State | CA
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