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General NPI Number Information
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NPI Number | 1861069346
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Entity Type | Organization
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Legal Business Name | NOEL T. PAREDES, DDS
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 6042 N FRESNO ST STE 102
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City | FRESNO
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State | CA
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Zip | 93710-5279
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Country | US
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Telephone | 559-824-9524
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Fax | 559-222-1664
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Provider Business Mailing Address
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Address Line | 6042 N FRESNO ST STE 102
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City | FRESNO
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State | CA
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Zip | 93710-5279
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Country | US
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Telephone | 559-824-9524
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Fax | 559-222-1664
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Authorized Official
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Title or Position | DENTAL ASSISTANT
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Name | LISA RAMIREZ
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Credential |
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Telephone | 559-824-9524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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