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General NPI Number Information
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NPI Number | 1124328422
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Entity Type | Organization
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Legal Business Name | THE DENTAL PEOPLE
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 3197 STEVENSON BLVD
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City | FREMONT
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State | CA
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Zip | 94538-2393
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Country | US
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Telephone | 510-252-0555
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Fax | 510-252-0558
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Provider Business Mailing Address
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Address Line | 3197 STEVENSON BLVD
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City | FREMONT
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State | CA
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Zip | 94538
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Country | US
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Telephone | 510-252-0555
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Fax | 510-252-0558
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. SUZANNE C SABLAN
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Credential | DDS
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Telephone | 510-252-0555
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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 | 46602
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 44075
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License Number State | CA
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