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General NPI Number Information
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NPI Number | 1750443875
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Entity Type | Individual
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Provider Name | MARIA SALOME DIONISIO DDS
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1355 FLORIN RD SUITE 3
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City | SACRAMENTO
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State | CA
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Zip | 95822-4231
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Country | US
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Telephone | 916-424-1400
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Fax | 916-393-7029
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Provider Business Mailing Address
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Address Line | 9760 LAZULITE CT
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City | ELK GROVE
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State | CA
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Zip | 95624-4460
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Country | US
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Telephone | 916-670-6879
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 46583
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License Number State | CA
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