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General NPI Number Information
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NPI Number | 1912104605
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Entity Type | Organization
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Legal Business Name | MARIA THERESA G. ORONCE
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 11/06/2008
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Provider Practice Location Address
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Address Line | 1610 N EL DORADO ST STE 4
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City | STOCKTON
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State | CA
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Zip | 95204-5930
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Country | US
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Telephone | 209-462-8361
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Fax | 209-462-0262
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Provider Business Mailing Address
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Address Line | 1610 N EL DORADO ST STE 4
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City | STOCKTON
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State | CA
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Zip | 95204-5930
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Country | US
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Telephone | 209-462-8361
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Fax | 209-462-0262
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MARIA THERESA GUINTO ORONCE
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Credential | DMD
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Telephone | 209-462-8361
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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 | 48161
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License Number State | CA
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