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General NPI Number Information
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NPI Number | 1558154344
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Entity Type | Organization
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Legal Business Name | UPSIDE DOWN FROWN CARE, LLC
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 13925 CITY CENTER DR STE 200
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City | CHINO HILLS
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State | CA
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Zip | 91709-5438
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Country | US
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Telephone | 909-702-6745
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Fax |
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Provider Business Mailing Address
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Address Line | 13925 CITY CENTER DR STE 200
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City | CHINO HILLS
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State | CA
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Zip | 91709-5438
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Country | US
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Telephone | 909-702-6745
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Fax |
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Authorized Official
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Title or Position | OROFACIAL MYOLOGIST
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Name | JACQUELINE BECERRA-LISING
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Credential | RDH, BS
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Telephone | 909-702-6745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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