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General NPI Number Information
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NPI Number | 1730977687
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Entity Type | Organization
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Legal Business Name | FIND DENTAL PROVIDERS
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 05/18/2025
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Provider Practice Location Address
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Address Line | 18453 YORKTON DR
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City | LATHROP
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State | CA
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Zip | 95330-8435
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Country | US
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Telephone | 415-596-8151
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Fax |
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Provider Business Mailing Address
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Address Line | 18453 YORKTON DR
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City | LATHROP
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State | CA
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Zip | 95330-8435
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Country | US
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Telephone | 415-596-8151
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KIMBERLY REGINA CROCKETT
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Credential | MBA
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Telephone | 415-596-8151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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