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General NPI Number Information
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NPI Number | 1740865658
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Entity Type | Individual
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Provider Name | SAVINO XILONZOCHILT
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Gender | Male
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Dates
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Enumeration Date | 03/11/2021
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 11635 SOUTH ARTESIA ST
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City | ARTESIA
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State | CA
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Zip | 90701
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Country | US
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Telephone | 310-953-3166
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Fax |
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Provider Business Mailing Address
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Address Line | 9553 FLOWER ST APT 19
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City | BELLFLOWER
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State | CA
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Zip | 90706-7524
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Country | US
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Telephone | 562-469-8559
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number | 89832
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License Number State |
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