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General NPI Number Information
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NPI Number | 1881096378
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Entity Type | Organization
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Legal Business Name | AILEEN ARCE DE GUZMAN
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 2240 EAST PLAZA BLVD SUITE Q
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City | NATIONAL CITY
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State | CA
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Zip | 91950-5166
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Country | US
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Telephone | 619-475-5767
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Fax | 619-475-5417
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Provider Business Mailing Address
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Address Line | 2240 EAST PLAZA BLVD. SUITE Q
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City | NATIONAL CITY
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State | CA
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Zip | 91950-5166
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Country | US
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Telephone | 619-475-5767
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Fax | 619-475-5417
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Authorized Official
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Title or Position | DENTIST
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Name | AILEEN ARCE DE GUZMAN
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Credential | D.D.S.
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Telephone | 619-475-5767
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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 | 47843
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License Number State | CA
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