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General NPI Number Information
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NPI Number | 1245525187
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Entity Type | Individual
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Provider Name | JOHANNA ACHURY-PEARSON JOHANNA ACHURY DDS
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Gender | Female
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Dates
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Enumeration Date | 06/17/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 2001 UNION ST SUITE 664
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4114
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Country | US
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Telephone | 415-347-8995
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Fax | 415-347-8996
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Provider Business Mailing Address
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Address Line | 4101 DUBLIN BLVD STE F-64
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City | DUBLIN
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State | CA
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Zip | 94568-4592
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Country | US
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Telephone | 415-347-8995
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Fax | 415-347-8996
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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 | 50198
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License Number State | CA
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