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General NPI Number Information
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NPI Number | 1144592064
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Entity Type | Individual
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Provider Name | BROOKE ASHLEY PANCER DMD, MS
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Gender | Female
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 2999 WESTMINSTER BLVD SEAL BEACH DENTAL IMPLANTS
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City | SEAL BEACH
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State | CA
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Zip | 90740
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Country | US
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Telephone | 562-431-9739
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Fax | 734-763-5503
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Provider Business Mailing Address
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Address Line | 1401 SAN JOAQUIN PLAZA
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City | NEWPORT BEACH
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State | CA
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Zip | 92660
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Country | US
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Telephone | 734-763-3389
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Fax | 734-763-5503
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 102455
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License Number State | CA
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