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General NPI Number Information
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NPI Number | 1285022004
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Entity Type | Organization
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Legal Business Name | ANDREA S. ARONS DDS, A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 12/31/2014
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 29525 CANWOOD ST STE 106
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City | AGOURA HILLS
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State | CA
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Zip | 91301-4230
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Country | US
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Telephone | 818-665-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 734 CALLE PECOS
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-2317
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Country | US
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Telephone | 818-665-6400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREA S ARONS
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Credential | D.D.S.
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Telephone | 818-665-6400
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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 | 57696
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License Number State | CA
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