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General NPI Number Information
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NPI Number | 1801074752
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Entity Type | Organization
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Legal Business Name | MARIA RHODORA L. CAPIRAL DDS, INC.
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Dates
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Enumeration Date | 02/02/2008
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Last Update Date | 02/02/2008
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Provider Practice Location Address
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Address Line | 11635 SOUTH ST
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City | CERRITOS
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State | CA
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Zip | 90701-6628
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Country | US
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Telephone | 714-527-6271
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Fax |
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Provider Business Mailing Address
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Address Line | 436 PLAZA CALIMAR
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City | CHULA VISTA
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State | CA
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Zip | 91914-4402
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Country | US
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Telephone | 619-397-2908
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA RHODORA LAZARO CAPIRAL
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Credential |
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Telephone | 714-310-4501
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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 | 46032
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License Number State | CA
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