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General NPI Number Information
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NPI Number | 1740311307
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Entity Type | Organization
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Legal Business Name | ELEANOR A. PULIDO, D.M.D., INC.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 33404 ALVARADO NILES RD
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City | UNION CITY
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State | CA
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Zip | 94587-3110
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Country | US
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Telephone | 510-429-8588
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Fax | 510-429-8583
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Provider Business Mailing Address
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Address Line | 33404 ALVARADO NILES RD
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City | UNION CITY
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State | CA
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Zip | 94587-3110
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Country | US
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Telephone | 510-429-8588
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Fax | 510-429-8583
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Authorized Official
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Title or Position | CEO
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Name | ELEANOR ARIAS PULIDO
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Credential | D.M.D.
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Telephone | 510-429-8588
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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 | 40877
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License Number State | CA
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