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General NPI Number Information
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NPI Number | 1205297413
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Entity Type | Organization
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Legal Business Name | SILVERINA CHUA, DDS INC
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Dates
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Enumeration Date | 03/15/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 14683 RAMONA AVE
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City | CHINO
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State | CA
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Zip | 91710-5648
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Country | US
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Telephone | 909-393-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 14683 RAMONA AVE
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City | CHINO
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State | CA
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Zip | 91710-5648
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Country | US
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Telephone | 909-393-1600
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | SILVERINA CHUA
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Credential |
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Telephone | 909-224-2488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 56520
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License Number State | CA
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