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General NPI Number Information
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NPI Number | 1134314818
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Entity Type | Organization
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Legal Business Name | ELIAS, ELLIOTT, LAMPASI, FEHN, HARRIS & NGUYEN, ADP
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 19009 VAN BUREN BLVD SUITE 204
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City | RIVERSIDE
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State | CA
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Zip | 92508-9164
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Country | US
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Telephone | 951-776-9001
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Fax | 951-680-1995
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Provider Business Mailing Address
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Address Line | 19009 VAN BUREN BLVD SUITE 204
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City | RIVERSIDE
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State | CA
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Zip | 92508-9164
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Country | US
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Telephone | 951-776-9001
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Fax | 951-680-1995
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Authorized Official
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Title or Position | PATIENT ACCOUNTING MANAGER
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Name | MRS. CATHERINE BAILEY
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Credential |
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Telephone | 951-241-7201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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