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General NPI Number Information
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NPI Number | 1447656368
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Entity Type | Organization
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Legal Business Name | NORA N TLEEL, DDS, APC
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 2445 TRUXTUN RD SUITE 105,106
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City | SAN DIEGO
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State | CA
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Zip | 92106-6153
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Country | US
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Telephone | 619-567-8977
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Fax |
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Provider Business Mailing Address
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Address Line | 2445 TRUXTUN RD SUITE 105,106
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City | SAN DIEGO
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State | CA
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Zip | 92106-6153
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Country | US
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Telephone | 619-567-8977
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NORA TLEEL
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Credential | DDS
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Telephone | 619-567-8977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 56813
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License Number State | CA
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