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General NPI Number Information
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NPI Number | 1659704088
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Entity Type | Individual
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Provider Name | ARNEL TAPIA EUGENIO D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 1920 E 17TH ST SUITE 100
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City | SANTA ANA
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State | CA
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Zip | 92705-8626
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Country | US
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Telephone | 714-953-6881
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Fax |
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Provider Business Mailing Address
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Address Line | 13337 SOUTH ST #663
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City | CERRITOS
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State | CA
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Zip | 90703-7308
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Country | US
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Telephone | 562-208-8877
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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 | 43144
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License Number State | CA
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