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General NPI Number Information
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NPI Number | 1649562182
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Entity Type | Organization
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Legal Business Name | CITRUS HEIGHTS DENTAL
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Dates
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Enumeration Date | 05/03/2011
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 6994 SUNRISE BLVD
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-3144
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Country | US
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Telephone | 916-723-8900
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Fax | 916-723-5168
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Provider Business Mailing Address
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Address Line | 6994 SUNRISE BLVD
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-3144
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Country | US
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Telephone | 916-723-8900
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Fax | 916-723-5168
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Authorized Official
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Title or Position | DENTIST
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Name | MRS. INNA SHTURMAN
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Credential | DDS
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Telephone | 916-723-8900
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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 | 45975
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License Number State | CA
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