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General NPI Number Information
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NPI Number | 1952707705
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Entity Type | Organization
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Legal Business Name | NOEMI TAGUINOD DENTAL CORPORATION
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 408 S BEACH BLVD STE 113
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City | ANAHEIM
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State | CA
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Zip | 92804-1876
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Country | US
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Telephone | 714-816-0954
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Fax |
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Provider Business Mailing Address
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Address Line | 408 S BEACH BLVD SUITE# 113
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City | ANAHEIM
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State | CA
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Zip | 92804-1853
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Country | US
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Telephone | 714-816-0954
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Fax | 714-816-0978
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. NOEMI GARCIA TAGUINOD
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Credential |
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Telephone | 714-816-0954
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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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