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General NPI Number Information
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NPI Number | 1073929766
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Entity Type | Organization
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Legal Business Name | DR.LANCE E TURNER DDS INC
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 816 W LODI AVE
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City | LODI
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State | CA
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Zip | 95240-3302
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Country | US
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Telephone | 209-369-2681
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Fax | 209-368-5717
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Provider Business Mailing Address
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Address Line | 816 W LODI AVE
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City | LODI
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State | CA
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Zip | 95240-3302
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Country | US
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Telephone | 209-369-2681
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Fax | 209-368-5717
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Authorized Official
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Title or Position | DENTIST
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Name | DR. LANCE E TURNER
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Credential | DDS
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Telephone | 209-369-2681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 27077
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License Number State | CA
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