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General NPI Number Information
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NPI Number | 1902002017
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Entity Type | Individual
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Provider Name | FLORENTINA MAGCANAM MERCADO DDS
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1153 N LAWRENCE EXPY
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City | SUNNYVALE
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State | CA
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Zip | 94089-2025
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Country | US
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Telephone | 408-541-1900
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Fax | 408-541-1588
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Provider Business Mailing Address
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Address Line | 38850 FARWELL DR APT 2A
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City | FREMONT
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State | CA
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Zip | 94536-7258
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Country | US
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Telephone | 510-282-8704
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Fax | 510-744-9164
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 50493
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License Number State | CA
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