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General NPI Number Information
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NPI Number | 1003038142
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Entity Type | Individual
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Provider Name | CLARICE LAW EYRE DMD, MS
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 100 UCLA MEDICAL PLZ STE 350
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City | LOS ANGELES
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State | CA
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Zip | 90095-0001
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Country | US
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Telephone | 310-794-5750
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Fax |
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Provider Business Mailing Address
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Address Line | 1248 S SYCAMORE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90019-1533
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Country | US
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Telephone | 323-931-7264
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 43456
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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 | 43456
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License Number State | CA
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