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General NPI Number Information
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NPI Number | 1730445107
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Entity Type | Individual
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Provider Name | ANNABEL CERNA RDH
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Gender | Female
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 725 W I ST
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City | LOS BANOS
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State | CA
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Zip | 93635-3478
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Country | US
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Telephone | 209-826-1094
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Fax | 209-826-7808
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Provider Business Mailing Address
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Address Line | 737 W CHILDS AVE
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City | MERCED
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State | CA
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Zip | 95341-6805
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Country | US
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Telephone | 209-385-5529
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Fax | 209-383-1296
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 22035
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License Number State | CA
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