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General NPI Number Information
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NPI Number | 1922574482
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Entity Type | Organization
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Legal Business Name | D. BARIZO DDS INC
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 17075 DEVONSHIRE ST STE 308
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City | NORTHRIDGE
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State | CA
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Zip | 91325-5420
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Country | US
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Telephone | 818-831-3365
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Fax | 818-831-3428
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Provider Business Mailing Address
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Address Line | 17075 DEVONSHIRE ST STE 308
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City | NORTHRIDGE
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State | CA
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Zip | 91325-5420
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Country | US
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Telephone | 818-831-3365
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Fax | 818-831-3428
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Authorized Official
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Title or Position | CEO/DENTIST
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Name | DR. DORIS BARIZO
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Credential | DDS
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Telephone | 818-831-3365
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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 |
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License Number State |
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