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General NPI Number Information
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NPI Number | 1023409752
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Entity Type | Organization
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Legal Business Name | CYNTHIA TUASON DDS INC
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Dates
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Enumeration Date | 02/17/2015
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 1061 SATURN BLVD STE 103
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City | SAN DIEGO
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State | CA
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Zip | 92154-2051
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Country | US
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Telephone | 619-863-0836
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Fax | 619-863-0893
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Provider Business Mailing Address
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Address Line | 1061 SATURN BLVD STE 103
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City | SAN DIEGO
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State | CA
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Zip | 92154-2051
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Country | US
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Telephone | 619-863-0836
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Fax | 619-863-0893
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Authorized Official
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Title or Position | OWNER
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Name | DR. CYNTHIA C TUASON
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Credential | DDS
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Telephone | 619-863-0836
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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 | 46440
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License Number State | CA
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