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General NPI Number Information
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NPI Number | 1821600925
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Entity Type | Individual
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Provider Name | KARINA PALILLO DMD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 153 W COLLEGE ST
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City | COVINA
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State | CA
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Zip | 91723-2008
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Country | US
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Telephone | 626-498-2472
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Fax |
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Provider Business Mailing Address
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Address Line | 4844 HALE AVE
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City | LA VERNE
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State | CA
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Zip | 91750-1953
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Country | US
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Telephone | 909-753-7239
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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 | 105127
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License Number State | CA
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