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General NPI Number Information
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NPI Number | 1679607790
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Entity Type | Individual
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Provider Name | DR. FELESHIA L APPS
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 2600 S TRACY BLVD #160
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City | TRACY
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State | CA
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Zip | 95376-9103
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Country | US
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Telephone | 510-910-1041
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Fax |
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Provider Business Mailing Address
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Address Line | 430 PUERTO PL
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City | HAYWARD
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State | CA
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Zip | 94541-7300
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Country | US
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Telephone | 510-910-1041
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 55054
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | CA55054
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License Number State | CA
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