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NPI 1194826867

NPI 1194826867 : WARREN JAMES SCHLOTT D.D.S. : BREA, CA

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General NPI Number Information
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    NPI Number           |    1194826867
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    Entity Type          |    Individual 
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    Provider Name        |    WARREN JAMES SCHLOTT D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/26/2006
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    Last Update Date     |    10/18/2010
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Provider Practice Location Address
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    Address Line         |    1220 E BIRCH ST SUITE 101
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    City                 |    BREA
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    State                |    CA
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    Zip                  |    92821-5155
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    Country              |    US
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    Telephone            |    714-529-5921
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    Fax                  |    714-529-9609
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Provider Business Mailing Address
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    Address Line         |    1220 E BIRCH ST SUITE 101
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    City                 |    BREA
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    State                |    CA
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    Zip                  |    92821-5155
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    Country              |    US
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    Telephone            |    714-529-5921
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    Fax                  |    714-529-9609
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    27683
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    License Number State |    CA
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