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General NPI Number Information
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NPI Number | 1376659425
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Entity Type | Organization
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Legal Business Name | BRIAN R FORCEY DDS APC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14711 PRINCETON AVE #2
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City | MOORPARK
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State | CA
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Zip | 93021-1457
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Country | US
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Telephone | 805-529-4821
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Fax | 805-529-1359
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Provider Business Mailing Address
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Address Line | 4646 PEPPER MILL ST
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City | MOORPARK
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State | CA
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Zip | 93021-2405
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Country | US
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Telephone | 805-813-1306
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Fax | 805-529-1359
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Authorized Official
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Title or Position | CORPORATION PRESIDENT
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Name | DR. BRIAN ROBERT FORCEY
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Credential | DDS
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Telephone | 805-813-1306
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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 | 28856
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License Number State | CA
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