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General NPI Number Information
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NPI Number | 1124186341
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Entity Type | Individual
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Provider Name | ERIKA M SEQUEIRA DDS
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 13161 PEYTON DR SUITE B
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City | CHINO HILLS
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State | CA
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Zip | 91709
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Country | US
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Telephone | 951-278-8006
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Fax | 909-465-6867
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Provider Business Mailing Address
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Address Line | 18625 QUAIL HILL RD CORONA CA 92881
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City | CARONA
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State | CA
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Zip | 92881
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Country | US
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Telephone | 951-515-2639
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Fax | 909-465-6867
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 50529
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License Number State | CA
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