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General NPI Number Information
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NPI Number | 1285213488
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Entity Type | Individual
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Provider Name | MIRONDA FRANKENBERGER DDS
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Gender | Female
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 2928 EASTERN AVE
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City | SACRAMENTO
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State | CA
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Zip | 95821-4210
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Country | US
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Telephone | 916-894-8212
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Fax |
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Provider Business Mailing Address
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Address Line | 9164 LAGUNA CENTER CIR
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City | ELK GROVE
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State | CA
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Zip | 95758-7309
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Country | US
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Telephone | 619-746-3177
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS108179
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License Number State | CA
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