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General NPI Number Information
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NPI Number | 1609211788
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Entity Type | Individual
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Provider Name | JENNIFER FERNANDEZ LITTON DMD MS
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Gender | Female
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 2301 VICENTE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-2832
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Country | US
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Telephone | 415-566-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 101 S LAKE MERCED HILL
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City | SAN FRANCISCO
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State | CA
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Zip | 94132
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Country | US
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Telephone | 774-329-0405
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 36578
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License Number State | CA
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