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General NPI Number Information
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NPI Number | 1841139813
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Entity Type | Organization
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Legal Business Name | MARISSA ABIGAIL CASTANEDA VALLEJO
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | AVENIDA MADERO 1090, LOCAL 3
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City | MEXICALLI
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State | BAJA CALIFORNIA
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Zip | 21100
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Country | MX
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 1063
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City | CALEXICO
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State | CA
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Zip | 92232
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Country | US
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Telephone | 442-231-9822
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Fax | 505-551-0760
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARISSA ABIGAIL CASTANEDA VALLEJO
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Credential | DDS
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Telephone | 442-231-9822
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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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