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General NPI Number Information
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NPI Number | 1730050840
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Entity Type | Individual
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Provider Name | DEVAN CRUZ DDS
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Gender | Male
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Dates
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Enumeration Date | 09/13/2025
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 1400 MEDICAL CENTER DR STE C
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City | ROHNERT PARK
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State | CA
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Zip | 94928-2924
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Country | US
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Telephone | 707-622-6748
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Fax |
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Provider Business Mailing Address
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Address Line | 525 NELSON RISING LN APT 605
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2296
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Country | US
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Telephone |
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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 | DDS111688
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License Number State | CA
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