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General NPI Number Information
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NPI Number | 1487164067
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Entity Type | Individual
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Provider Name | SILJA LETICIA FURCHE DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2222 CLEARVIEW PKWY
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City | METAIRIE
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State | LA
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Zip | 70001-2437
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Country | US
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Telephone | 504-302-4206
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Fax |
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Provider Business Mailing Address
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Address Line | 2346 CAMP ST
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City | NEW ORLEANS
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State | LA
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Zip | 70130-5608
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Country | US
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Telephone | 646-961-1846
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6829
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License Number State | LA
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