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General NPI Number Information
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NPI Number | 1730306622
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Entity Type | Individual
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Provider Name | NICANOR JEBUNAN BAUTISTA D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 23412 CALIENTE SPRINGS AVE
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City | MURRIETA
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State | CA
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Zip | 92562-4814
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Country | US
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Telephone | 941-445-4040
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Fax | 951-445-4037
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Provider Business Mailing Address
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Address Line | 41539 KALMIA ST. SUITE 103
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City | MURRIETA
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State | CA
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Zip | 92562
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Country | US
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Telephone | 941-445-4040
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 50727
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License Number State | CA
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