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General NPI Number Information
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NPI Number | 1902240666
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Entity Type | Organization
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Legal Business Name | XERXEZ M CALILUNG DDS INC
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 4330 BARRANCA PKWY SUITE 200
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City | IRVINE
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State | CA
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Zip | 92604-4755
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Country | US
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Telephone | 949-551-5600
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Fax | 949-551-5648
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Provider Business Mailing Address
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Address Line | 4330 BARRANCA PKWY SUITE 200
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City | IRVINE
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State | CA
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Zip | 92604-4755
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Country | US
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Telephone | 949-551-5600
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Fax | 949-551-5648
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Authorized Official
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Title or Position | DENTIST
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Name | DR. XERXEZ MEGINO CALILUNG
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Credential | D.D.S
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Telephone | 949-551-5600
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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 | 38167
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License Number State | CA
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