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General NPI Number Information
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NPI Number | 1861055840
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Entity Type | Individual
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Provider Name | MARITERE ZAMORA DMD
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Gender | Female
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 4447 SEPULVEDA BLVD
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City | CULVER CITY
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State | CA
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Zip | 90230-4847
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Country | US
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Telephone | 786-325-2214
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Fax |
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Provider Business Mailing Address
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Address Line | 3006 BUCKHAVEN RD
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City | CHINO HILLS
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State | CA
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Zip | 91709-5124
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Country | US
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Telephone | 786-325-2214
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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 | 109573
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License Number State | CA
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