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General NPI Number Information
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NPI Number | 1669628285
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Entity Type | Organization
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Legal Business Name | MEERWEIS STANISAI DENTAL CORPORATION
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 25395 HANCOCK AVE SUITE 220
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City | MURRIETA
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State | CA
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Zip | 92562-9054
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Country | US
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Telephone | 951-696-8200
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Fax | 951-461-4222
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Provider Business Mailing Address
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Address Line | 25395 HANCOCK AVE SUITE 220
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City | MURRIETA
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State | CA
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Zip | 92562-9054
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Country | US
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Telephone | 951-696-8200
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Fax | 951-461-4222
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEERWEIS STANISAI
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Credential |
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Telephone | 951-696-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 47321
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License Number State | CA
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