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General NPI Number Information
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NPI Number | 1689878621
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Entity Type | Individual
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Provider Name | JAMES RONALD POLLARD DDS
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 68-820 RAMON ROAD
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234
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Country | US
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Telephone | 760-770-0236
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Fax | 760-770-9758
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Provider Business Mailing Address
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Address Line | 22757 F PALM AVENUE
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City | GRAND TERRACE
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State | CA
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Zip | 92313
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Country | US
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Telephone | 909-514-0810
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Fax | 760-770-9758
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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 | 22755
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License Number State | CA
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