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General NPI Number Information
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NPI Number | 1649817875
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Entity Type | Individual
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Provider Name | JOSE EDUARDO CEDILLO FELIX DDS
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Gender | Male
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Dates
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Enumeration Date | 12/06/2019
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Last Update Date | 12/06/2019
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Provider Practice Location Address
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Address Line | 23609 HAWTHORNE BLVD STE B
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City | TORRANCE
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State | CA
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Zip | 90505-6023
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Country | US
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Telephone | 310-231-6866
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Fax |
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Provider Business Mailing Address
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Address Line | 5993 E PACIFIC COAST HWY APT 4
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City | LONG BEACH
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State | CA
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Zip | 90803-4964
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Country | US
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Telephone | 562-481-8610
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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 | 103605
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License Number State | CA
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