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General NPI Number Information
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NPI Number | 1821619966
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Entity Type | Organization
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Legal Business Name | DR PAZ CASANOVA DENTAL GROUP INC
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Dates
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Enumeration Date | 04/29/2020
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 8151 ARLINGTON AVE STE R
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City | RIVERSIDE
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State | CA
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Zip | 92503-0437
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Country | US
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Telephone | 909-238-5361
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Fax | 909-972-1672
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Provider Business Mailing Address
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Address Line | 8151 ARLINGTON AVE STE R
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City | RIVERSIDE
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State | CA
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Zip | 92503-0437
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Country | US
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Telephone | 909-238-5361
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Fax | 909-972-1672
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Authorized Official
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Title or Position | CPA
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Name | ARSHAD MUHAMMAD FAROOQ
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Credential | CPA
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Telephone | 909-238-5361
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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 |
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License Number State |
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