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General NPI Number Information
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NPI Number | 1669048641
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Entity Type | Organization
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Legal Business Name | JULIA BROWN DDS INC.
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 6331 HAVEN AVE STE 12
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-6942
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Country | US
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Telephone | 909-989-7222
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Fax | 909-989-7227
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Provider Business Mailing Address
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Address Line | 25745 BARTON RD # 703
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City | LOMA LINDA
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State | CA
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Zip | 92354-3812
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Country | US
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Telephone | 909-989-7222
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Fax | 909-989-7227
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Authorized Official
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Title or Position | OWNER
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Name | JULIA EILEEN BROWN
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Credential | DDS
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Telephone | 909-659-8799
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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