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General NPI Number Information
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NPI Number | 1962878199
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Entity Type | Organization
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Legal Business Name | FIELDS AND ROJAS DENTAL PARTNERSHIP, A CALIFORNIA GENERAL PARTNERSHIP
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 2244 FAIR PARK AVE
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City | LOS ANGELES
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State | CA
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Zip | 90041-1910
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Country | US
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Telephone | 323-363-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 2244 FAIR PARK AVE
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City | LOS ANGELES
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State | CA
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Zip | 90041-1910
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST OWNER
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Name | JENNIFFER ROJAS
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Credential |
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Telephone | 323-787-7224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 56006
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 55515
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License Number State | CA
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