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General NPI Number Information
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NPI Number | 1750609806
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Entity Type | Individual
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Provider Name | CAMELIA O CIFOR D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 6500 COYLE AVE SUITE 7
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City | CARMICHAEL
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State | CA
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Zip | 95608-0301
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Country | US
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Telephone | 916-967-7682
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Fax |
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Provider Business Mailing Address
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Address Line | 6342 WEXFORD CIR
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95621-4940
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 58991
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License Number State | CA
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