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General NPI Number Information
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NPI Number | 1699965426
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Entity Type | Individual
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Provider Name | GEMMA FRANCISCO BALUYUT D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 115 CRESCENT DR
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City | PLEASANT HILL
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State | CA
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Zip | 94523-5519
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Country | US
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Telephone | 925-642-7919
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Fax | 925-687-9664
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Provider Business Mailing Address
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Address Line | 1816 SAN ANDRES DR
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City | PITTSBURG
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State | CA
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Zip | 94565-7650
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Country | US
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Telephone | 925-642-2642
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Fax | 925-687-9664
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 50887
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License Number State | CA
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