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General NPI Number Information
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NPI Number | 1144360249
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Entity Type | Individual
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Provider Name | SUMANA ANUN DDS
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5467 MORENO ST SUITE A
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City | MONTCLAIR
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State | CA
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Zip | 91763-1682
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Country | US
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Telephone | 909-946-6771
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Fax | 909-946-6831
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Provider Business Mailing Address
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Address Line | 3755 N GRAND AVE
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City | CLAREMONT
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State | CA
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Zip | 91711
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Country | US
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Telephone | 909-624-7712
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Fax | 907-624-3755
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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 | 38641
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License Number State | CA
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