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General NPI Number Information
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NPI Number | 1891299723
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Entity Type | Individual
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Provider Name | HELEN VILCHEZ
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 13609 CENTRAL AVE. #G
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City | CHINO
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State | CA
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Zip | 91710
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Country | US
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Telephone | 909-203-7997
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Fax |
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Provider Business Mailing Address
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Address Line | 12142 CENTRAL AVE # 203
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City | CHINO
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State | CA
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Zip | 91710-2420
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Country | US
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Telephone | 323-346-5135
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 104891
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License Number State | CA
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