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General NPI Number Information
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NPI Number | 1881963742
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Entity Type | Individual
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Provider Name | FABRIZIO DALL'OLMO D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 13407 WALNUT ST
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City | WHITTIER
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State | CA
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Zip | 90602-2403
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Country | US
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Telephone | 562-693-2741
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Fax | 562-309-4433
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Provider Business Mailing Address
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Address Line | 13407 WALNUT ST
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City | WHITTIER
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State | CA
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Zip | 90602-2403
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Country | US
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Telephone | 562-693-2741
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Fax | 562-309-4433
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 45238
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License Number State | CA
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