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General NPI Number Information
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NPI Number | 1770747545
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Entity Type | Individual
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Provider Name | RUTH ELIZABETH CABRAL-TEIXEIRA D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 1112 MAIN ST
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City | LIVINGSTON
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State | CA
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Zip | 95334-1213
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Country | US
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Telephone | 209-394-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 MAIN ST
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City | LIVINGSTON
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State | CA
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Zip | 95334-1213
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Country | US
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Telephone | 209-394-8383
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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 | 57119
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License Number State | CA
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