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General NPI Number Information
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NPI Number | 1750934303
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Entity Type | Individual
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Provider Name | ABIGAIL ARCE JUMOC DMD, DDS
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Gender | Female
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 2240 E PLAZA BLVD STE J
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City | NATIONAL CITY
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State | CA
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Zip | 91950-5165
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Country | US
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Telephone | 619-475-5767
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Fax |
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Provider Business Mailing Address
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Address Line | 584 PARKWOOD DR
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City | SAN DIEGO
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State | CA
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Zip | 92139-1309
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Country | US
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Telephone | 619-806-2551
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Fax | 619-806-2551
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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 | 104118
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License Number State | CA
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